Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4103 | OK |
NPI | 1871636969 |
---|---|
Provider Name | Julie Arlene Munson |
First Address | Lakin, KS 67860-9625 |
Second Address | Lakin, KS 67860-9625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 16/08/2007 |