J Kirk Douglass
Podiatrist Prosthetist
10740 Meridian Ave N Ste G2
Seattle
, Washington 98133-9010
J Kirk Douglass
Podiatrist Prosthetist
10740 Meridian Ave N Ste G2
Seattle
, Washington 98133-9010
(206) 363-7688
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- J Kirk Douglass
- 10740 Meridian Ave N Ste G2
- Seattle, WA
- Zip : 98133-9010
- Fax : (206) 363-7688
- Phone : (206) 363-7790
Second Address
- J Kirk Douglass
- 10740 Meridian Ave N Ste G2
- Seattle, WA
- Zip : 98133-9010
- Fax : (206) 363-7688
- Phone : (206) 363-7790
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | OI00000062 | WA |
| N | 222Z00000X | Podiatrist | OI00000062 | WA |
| Y | 224P00000X | Prosthetist | PS00000063 | WA |
National Provider Identifier
| NPI | 1275539264 |
|---|---|
| Provider Name | J Kirk Douglass |
| First Address | Seattle, WA 98133-9010 |
| Second Address | Seattle, WA 98133-9010 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2005 |
| Last Update Date | 29/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8418840 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.