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Naki Pediatrics & Adolescent

Pediatrics, Adolescent Medicine in Gadsden, AL. Organization (NPI-2).

NPI number1508047697
StatusActive
Last updated in NPPESJul 14, 2008

Details

NPI
1508047697
Entity type
Organization (NPI-2)
Legal business name
Naki Pediatrics & Adolescent
Organization subpart
Yes
Enumeration date
Nov 17, 2007
Last updated
Jul 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine8282ALYes

Practice location

410 Bay St
Gadsden, AL 35901-5108

Phone 256-543-0111 · Fax 256-543-2907

Mailing address

410 Bay St
Naki Pediatrics & Adolescent Health Center, PC
Gadsden, AL 35901-0000

Phone 256-543-0111 · Fax 256-543-2907

Authorized official

Christopher Kirya
President
2565430111

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