NPI | 1851733521 |
---|---|
Former Legal Business Name | K & S DERMATOLOGY, PC |
Entity Type | Organization |
Authorized Contact | LYNDA KAULS President 612-746-4144 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2013-07-23 |
Last Update Date | 2018-02-06 |