Individual
KIRU KOREA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-00432
NC
207R00000X
Internal Medicine Physician
35877
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907178
—
NC
05
—
N0043A
—
SC
Enumeration date
03/05/2007
Last updated
01/27/2016
Update your record
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