Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 0102202979 | VA |
NPI | 1144483751 |
---|---|
Provider Name | Monika Agnieszka Krzyzek |
First Address | Killeen, TX 76542-3360 |
Second Address | Fort Hood, TX 76544-5060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 04/12/2020 |