Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | MD00038535 | WA |
NPI | 1154339539 |
---|---|
Provider Name | Karl H Kaufmann |
First Address | Seattle, WA 98124-0584 |
Second Address | Renton, WA 98055-5714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 12/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0185272 | LABOR& INDUSTRIES PROV# (01) | WA |
3646KA | REGENCE BS PROV# (01) | WA |
8255440 | (05) | WA |
H20214 | (02) | WA |