Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 2015-00912 | NC |
NPI | 1093944407 |
---|---|
Provider Name | Keia R Sanderson |
First Address | Chapel Hill, NC 27599-4619 |
Second Address | Chapel Hill, NC 27599-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2009 |
Last Update Date | 15/09/2016 |