Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 34 | AK |
NPI | 1093992018 |
---|---|
Provider Name | Kristin Cox |
First Address | Juneau, AK 99801-1146 |
Second Address | Juneau, AK 99801-1146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2008 |
Last Update Date | 22/01/2008 |