Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | OI60827750 | WA |
N | 222Z00000X | Podiatrist | OI60827750 | WA |
Y | 224P00000X | Prosthetist | PS60746523 | WA |
NPI | 1013488071 |
---|---|
Provider Name | Kathryn L Pimentel |
First Address | Everett, WA 98201-4928 |
Second Address | Everett, WA 98201-4928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2018 |
Last Update Date | 16/12/2018 |