Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 270587 | NY |
N | 111NI0900X | Internist | 270587 | NY |
N | 208000000X | Pediatrician | 266069 | MA |
Y | 208000000X | Pediatrician | 270587 | NY |
N | 2080P0204X | Pediatric Emergency Doctor | 266069 | MA |
NPI | 1033352034 |
---|---|
Provider Name | Krista Turner Kitchen |
First Address | Springfield, MA 01199-1011 |
Second Address | Springfield, MA 01107-1619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 03/02/2017 |