| NPI | 1417299058 |
|---|---|
| Other Name | KRIS COONTZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 303154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A157477) |
| 207R00000X Internal Medicine (Licence: FL ME154000) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-12-23 |