Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ND947 | CA |
Y | 175F00000X | Naturopath | NT61010075 | WA |
NPI | 1083122626 |
---|---|
Provider Name | Dr. Kye Peven |
First Address | Seattle, WA 98107-3573 |
Second Address | Seattle, WA 98107-3573 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2018 |
Last Update Date | 21/11/2019 |