Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 201000091 | NC |
NPI | 1043344666 |
---|---|
Provider Name | Dr. Kiem Hioe |
First Address | Boston, MA 02298-6513 |
Second Address | Jacksonville, NC 28546-6322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 03/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2077434 | (02) | NC |
5914448 | (05) | NC |