| NPI | 1508255019 |
|---|---|
| Doing Business As | KINGSTON HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON BLEAK CEO 775-635-2550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X (Licence: NV NV20111774100) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2020-08-18 |