Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DEN5933 | DC |
NPI | 1114207784 |
---|---|
Provider Name | Dr. Kim Anna Menhinick |
First Address | Chevy Chase, MD 20815-6901 |
Second Address | Chevy Chase, MD 20815-6901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2011 |
Last Update Date | 26/08/2011 |