Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 58.032442 | OH |
NPI | 1003472820 |
---|---|
Provider Name | Mrs. Magdelene Kay May |
First Address | Aberdeen, WA 98520-2526 |
Second Address | Cincinnati, OH 45255-2439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2019 |
Last Update Date | 05/05/2021 |