Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | P060649660 | WA |
NPI | 1306282801 |
---|---|
Provider Name | Dr. Abdulaziz Kimawi |
First Address | Federal Way, WA 98003-8710 |
Second Address | Federal Way, WA 98003-8710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2013 |
Last Update Date | 26/04/2018 |