NPI | 1548292444 |
---|---|
Former Name | KIM L FELDER-JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: TX 1181) |
Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: TX 1181) |
213ES0000X Podiatrist Sports Medicine (Licence: TX 1181) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2015-12-29 |