NPI | 1437925377 |
---|---|
Doing Business As | AFFINITY NUTRITION AND DIABETES CARE |
Entity Type | Organization |
Authorized Contact | JOHN KAHL Chief Operating Officer 318-807-7875 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 133V00000X Dietitian, Registered |
207Q00000X Family Medicine | |
Enumeration Date | 2023-12-01 |
Last Update Date | 2023-12-01 |