Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 50258 | TN |
NPI | 1033421417 |
---|---|
Provider Name | Fnu Kaweeta |
First Address | Memphis, TN 38103-5976 |
Second Address | Memphis, TN 38103-2807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2010 |
Last Update Date | 22/01/2021 |