Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1922244599 |
||||
| LBN Legal business name | KIRA MEDICAL, PLLC | ||||
| Authorized official | MICHAEL KLEIN - (MEDICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/31/2008 | ||||
| Last updated | 12/31/2008 - About 17 years ago | ||||
| Identifiers |
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KIRA MEDICAL, PLLC
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