NPI | 1699060954 |
---|---|
Former Name | KATHRYN G KINNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036135561) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059134) |
207R00000X Internal Medicine (Licence: NY 300925) | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2023-11-30 |