Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Medical Specialty |
261QM2500X |
| NPI Number | 1093538027 |
| LBN Legal business name | KHALIL MIND KARE, LLC |
| Authorized official | MICHELLE FIGUEROA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/07/2024 |
| Last updated | 12/06/2024 - More than a year ago |
| Identifiers | n/a |
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