| NPI | 1003385519 |
|---|---|
| Other Name | KIM MCKAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10981) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111618) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9111618) | |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9111618) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2022-06-24 |