Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 1181 | TX |
N | 2081S0010X | Sports Medicine | 1181 | TX |
N | 213ES0000X | Sports Medicine | 1181 | TX |
Y | 213ES0131X | Foot Surgery | 1181 | TX |
NPI | 1548292444 |
---|---|
Provider Name | Dr. Kim Laverne Felder |
First Address | Seattle, WA 98108-1597 |
Second Address | Seattle, WA 98108-1532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 29/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127187601 | (05) | TX |
U49766 | (02) | TX |