Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | CO005711 | NC |
Y | 222Z00000X | Podiatrist | CO005711 | NC |
NPI | 1003355603 |
---|---|
Provider Name | Kari Pichora |
First Address | Apex, NC 27502-3955 |
Second Address | Apex, NC 27502-3955 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2017 |
Last Update Date | 15/02/2017 |