Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 5502002159 | MI |
NPI | 1033745575 |
---|---|
Provider Name | Kristy Darling |
First Address | Lennon, MI 48449-9309 |
Second Address | Lennon, MI 48449-9309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2020 |
Last Update Date | 17/03/2020 |