Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD00026587 | WA |
NPI | 1083601579 |
---|---|
Provider Name | Julie Lyn Carkin |
First Address | Seattle, WA 98133 |
Second Address | Seattle, WA 98133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 16/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
44273 | L AND E (01) | WA |
660000601 | RR MEDICARE (01) | WA |
8148470 | (05) | WA |
E53770 | (02) | WA |