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 Clinic/Center (Licence: NV NV20111774100) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2020-08-18 |