Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 142 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 142 | NC |
N | 213ES0131X | Foot Surgery | 142 | NC |
NPI | 1437157963 |
---|---|
Provider Name | Dr. Barbara J. Kaiser |
First Address | Charlotte, NC 28210-8509 |
Second Address | Charlotte, NC 28210-8508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 20/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8908091 | (05) | NC |
T64105 | (02) | NC |