| NPI | 1740570910 |
|---|---|
| Former Name | CARRIE COYKENDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 69918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0053591) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2026-08-18 |