Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD11290 | TN |
Y | 111NI0900X | Internist | MD11290 | TN |
N | 207RA0401X | Internist - Addiction Medicine | 11290 | TN |
NPI | 1992889471 |
---|---|
Provider Name | Kay Son |
First Address | Nashville, TN 37211-2911 |
Second Address | Nashville, TN 37211-2911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 09/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B03158 | (02) | TN |