Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT61137140 | WA |
NPI | 1104597830 |
---|---|
Provider Name | Kareem Kandil |
First Address | Rockford, IL 61114-7002 |
Second Address | Spokane, WA 99203-2323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2021 |
Last Update Date | 22/09/2021 |