NPI | 1952363616 |
---|---|
Other Name | STACEY ANN KINDIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MN 482) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 482) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2012-05-09 |