Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 222519 | DC |
NPI | 1205316890 |
---|---|
Provider Name | Katherine Denney |
First Address | Allen, TX 75013-8094 |
Second Address | Allen, TX 75013-8094 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2018 |
Last Update Date | 11/06/2019 |