Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 0006222 | WA |
NPI | 1033202866 |
---|---|
Provider Name | Dr. Kevin Naficy |
First Address | Bellevue, WA 98008-2231 |
Second Address | Bellevue, WA 98008-2231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |