| NPI | 1659372712 |
|---|---|
| Doing Business As | INTEGRIS KINGSTON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEVEN E CLIFTON Senior Vice President 239-598-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-06-12 |