| NPI | 1396944286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID N KINGSLEY President Physician 308-865-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NE 17666) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-12-17 |