NPI | 1922043140 |
---|---|
Entity Type | Organization |
Authorized Contact | KERI KRAFT Office Manager 251-943-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 244) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-06-19 |
Last Update Date | 2013-08-23 |