Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1053610006 |
---|---|
Provider Name | Kim F. Frank |
First Address | Las Vegas, NV 89122-7596 |
Second Address | Las Vegas, NV 89122-7596 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2011 |
Last Update Date | 16/03/2011 |