Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60606638 | WA |
NPI | 1144671629 |
---|---|
Provider Name | Dr. Keriann A Swope |
First Address | Auburn, WA 98092-9019 |
Second Address | Seattle, WA 98116-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2016 |
Last Update Date | 27/06/2016 |