NPI | 1194966747 |
---|---|
Doing Business As | CAROLINE KINGSTON MD MPH FAMILY PRECTICE LLC |
Entity Type | Organization |
Authorized Contact | CAROLINE KINGSTON Dr. 505-820-2562 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 97-89) |
Enumeration Date | 2009-03-11 |
Last Update Date | 2009-12-23 |