Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | DR.0054608 | CO |
Y | 207Q00000X | Family Doctor | MD00040899 | WA |
N | 207VX0000X | Obstetrician | MD00040899 | WA |
NPI | 1154402253 |
---|---|
Provider Name | Dr. Karl Kuzis |
First Address | Richland, WA 99352-9532 |
Second Address | Richland, WA 99352-3505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 18/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8297426 | (05) | WA |
G8854500 | (02) | WA |