Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD00012475 | WA |
NPI | 1033112107 |
---|---|
Provider Name | Hunter A Mckay |
First Address | Burien, WA 98166-3049 |
Second Address | Seattle, WA 98122-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A05139 | (02) | WA |