NPI | 1215196977 |
---|---|
Former Name | KRISTIN JANELL DUFFY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8602) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30022971) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2016-07-26 |