Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A124612 | CA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 60958493 | WA |
NPI | 1093056798 |
---|---|
Provider Name | Dr. Julie Rebecca Kaswick |
First Address | Spokane, WA 99204-2361 |
Second Address | Spokane, WA 99204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2013 |
Last Update Date | 21/10/2019 |