Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD00038086 | WA |
NPI | 1003812678 |
---|---|
Provider Name | Karla E Khan |
First Address | Spokane, WA 99207-1240 |
Second Address | Spokane, WA 99207-1240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8246430 | (05) | WA |
H18361 | (02) |