Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | B00960 | NV |
NPI | 1629237524 |
---|---|
Provider Name | Dr. Kathleen Barnett-Wolk |
First Address | Las Vegas, NV 89102-1502 |
Second Address | Las Vegas, NV 89102-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 05/06/2008 |