Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1235132176 |
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| LBN Legal business name | ALTERNAMED, LLC | ||||||||
| Authorized official | KAREN KEPNER - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/24/2005 | ||||||||
| Last updated | 10/22/2007 - About 19 years ago | ||||||||
| Identifiers |
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