Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 21039 | CA |
NPI | 1043212756 |
---|---|
Provider Name | Dr. Kerry Lindell |
First Address | Los Altos, CA 94022-3118 |
Second Address | Mountain View, CA 94040-2405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2005 |
Last Update Date | 08/07/2007 |