Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A125829 | CA |
N | 2080P0216X | Pediatric Rheumatologist | 04-39174 | KS |
Y | 2080P0216X | Pediatric Rheumatologist | 2011032197 | MO |
NPI | 1538480074 |
---|---|
Provider Name | Emily Fox |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2010 |
Last Update Date | 05/08/2016 |