Organization Name: | DAK FAMILY MEDICAL LLC |
NPI Number: | 1396032595 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA KARINSKI (OWNER) |
Mailing Address: | 87 Sandy Bottom Road Coventry |
State: | RI US |
Postal Code: | 02816 |
Phone Number: | 4018257445 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2011 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NPP26116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |