Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 062308 | GA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 062308 | GA |
NPI | 1083877419 |
---|---|
Provider Name | Kali Danielle Arnold |
First Address | Lawrenceville, GA 30046-3385 |
Second Address | Lawrenceville, GA 30046-3385 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 02/01/2013 |