Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 001344 | GA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 2009-00141 | NC |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME104775 | FL |
NPI | 1669659595 |
---|---|
Provider Name | Dr. Amie Kawasaki |
First Address | Durham, NC 27707-6865 |
Second Address | Durham, NC 27707-6865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2008 |
Last Update Date | 10/09/2013 |