Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 275 | AK |
NPI | 1013172584 |
---|---|
Provider Name | Dr. Kamey Kapp |
First Address | Nome, AK 99762 |
Second Address | Nome, AK 99762 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2008 |
Last Update Date | 24/07/2008 |