| NPI | 1548292444 |
|---|---|
| Former Name | KIM L FELDER-JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X (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 |