| NPI | 1871870899 |
|---|---|
| Doing Business As | NVRH KINGDOM INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBERT N HERSEY CFO 802-748-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: VT 785) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2020-02-11 |