| NPI | 1326131434 |
|---|---|
| Former Name | KIM MCINTOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 300257) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3003257) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3003257) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-05-05 |