Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 0401005824 | VA |
NPI | 1083941983 |
---|---|
Provider Name | Dr. Karen C Day |
First Address | Richmond, VA 23219-3623 |
Second Address | Richmond, VA 23219-3623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2009 |
Last Update Date | 13/11/2009 |