Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 34967 | SC |
N | 2080P0210X | Pediatric Nephrologist | N6732 | TX |
NPI | 1356532311 |
---|---|
Provider Name | Katherine Elizabeth Twombley |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 31/08/2012 |