NPI | 1275136558 |
---|---|
Doing Business As | KP HEALTHCARE |
Entity Type | Organization |
Authorized Contact | KATE PRIYA SRIKANT Provider/Owner 217-979-2284 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2020-11-18 |
Last Update Date | 2020-11-18 |