Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD60120851 | WA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60120851 | WA |
NPI | 1023324514 |
---|---|
Provider Name | Kelly Lauren Apostle |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104-2420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2010 |
Last Update Date | 23/08/2010 |