Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD60820855 | WA |
N | 208000000X | Pediatrician | ML 60470206 | WA |
N | 2080P0204X | Pediatric Emergency Doctor | 60820855 | WA |
NPI | 1245657485 |
---|---|
Provider Name | Kathryn Sun |
First Address | Everett, WA 98206-5127 |
Second Address | Everett, WA 98201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2014 |
Last Update Date | 06/03/2019 |