NPI | 1194018754 |
---|---|
Professional Name | KIA M CODY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 21246) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 21246) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2020-01-16 |