Doctor Name: | KEMUNTO MOKAYA |
NPI Number: | 1396065769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD0000051717 |
Business Practice Address: | 266 Joule St Alcoa, TN - 377012422 |
Business Phone Number: | 8659843864 |
Business Fax Number: | 8653804095 |
Mailing Address: | 701 Morganton Square Dr, MARYVILLE |
State: | TN |
Postal Code: | 378014796 |
Phone Number: | 8652731752 |
Fax Number: | 8652731755 |
NPI Enumeration Date: | 06/08/2010 |
NPI Last Update Date: | 01/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207NP0225X |
License Number: | MD0000051717 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Dermatology |
Taxonomy Specialization: | Pediatric Dermatology |
Taxonomy Definition: | A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |