Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | CDR.0000384 | CO |
Y | 207V00000X | Obstetrician & Gynecologist | MD60967563 | WA |
N | 207VX0000X | Obstetrician | 19449 | TN |
NPI | 1447252507 |
---|---|
Provider Name | Dr. Karen S Himebaugh |
First Address | Federal Way, WA 98003-6789 |
Second Address | Federal Way, WA 98003-6789 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2005 |
Last Update Date | 20/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1507776 | (05) | TN |
2140731 | (05) | WA |
3159742 | BCBS (01) | TN |
3818669 | (05) | TN |
E19789 | (02) | |
E19789 | (02) | TN |
Q008202 | (05) | TN |