Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 200400561 | NC |
Y | 2080P0203X | Pediatric Critical Care Doctor | 200400561 | NC |
NPI | 1023036779 |
---|---|
Provider Name | Dr. Karen Neff Chilton |
First Address | Raleigh, NC 27604-0010 |
Second Address | Raleigh, NC 27610-1247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 18/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89137AN | (05) | NC |
I14961 | (02) |