Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 43744 | AZ |
NPI | 1295909083 |
---|---|
Provider Name | Kim A Usher |
First Address | Tucson, AZ 85756-7124 |
Second Address | Tucson, AZ 85713-6204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 31/08/2012 |