Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60357746 | WA |
NPI | 1134564230 |
---|---|
Provider Name | Dr. Katana Beth King |
First Address | Longview, WA 98632-2901 |
Second Address | Longview, WA 98632-2901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2013 |
Last Update Date | 20/01/2015 |