Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | G89000 | CA |
Y | 2080A0000X | Adolescent Medicine | 4301038205 | MI |
NPI | 1194779421 |
---|---|
Provider Name | Dr. Sharon Kay Knepfler |
First Address | Temecula, CA 92590-2661 |
Second Address | Hemet, CA 92543-7976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 02/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A78734 | (02) | MI |