Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 8231 | NC |
NPI | 1033368386 |
---|---|
Provider Name | Dr. Nathan James Kryn |
First Address | Clayton, NC 27528-0190 |
Second Address | Clayton, NC 27520-4493 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2008 |
Last Update Date | 29/04/2010 |