Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | D46711 | MD |
NPI | 1114946365 |
---|---|
Provider Name | Sharon Kiernan |
First Address | Germantown, MD 20875-2130 |
Second Address | Silver Spring, MD 20910-1483 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 29/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
M39748 | CDS LICENSE (01) | MD |