Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD607602 | WA |
Y | 208600000X | Surgeon | MD607602 | WA |
N | 208200000X | Surgeon | RL 12000 | ND |
N | 208600000X | Surgeon | RL 12000 | ND |
N | 2086S0127X | Trauma Surgeon | 303044 | LA |
NPI | 1174801328 |
---|---|
Provider Name | Kai Linsay Sharbono |
First Address | Spokane, WA 99210-2242 |
Second Address | Spokane, WA 99201-2217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2011 |
Last Update Date | 29/06/2017 |