Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 51638 | CO |
N | 207P00000X | Emergency Physician | 51920-020 | WI |
N | 207PE0004X | Emergency Medical Services | MD 60147182 | WA |
NPI | 1104965144 |
---|---|
Provider Name | Lindsay Krall |
First Address | Denver, CO 80217-9294 |
Second Address | Colorado Springs, CO 80909-5533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 10/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
87727811 | (05) | CO |