| NPI | 1649034794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN E KRESS CEO 888-341-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-03-08 |