Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 33239 | CA |
NPI | 1427437250 |
---|---|
Provider Name | Dr. Kimberly Elizabeth Mchugh |
First Address | Del Mar, CA 92014-2256 |
Second Address | Del Mar, CA 92014-2256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2015 |
Last Update Date | 26/05/2015 |