Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 001658 | IA |
NPI | 1043265176 |
---|---|
Provider Name | Sharon K Fey |
First Address | Sioux City, IA 51102 |
Second Address | Sioux City, IA 51101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 29/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q78180 | (02) |