Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical-Surgical |
364SM0705X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1982908166 |
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| LBN Legal business name | KR FIRST ASSIST, LLC | ||||
| Authorized official | KIMBERLY BESANCON - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/03/2011 | ||||
| Last updated | 01/03/2011 - About 15 years ago | ||||
| Identifiers |
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