Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00046445 | WA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD00046445 | WA |
NPI | 1821037912 |
---|---|
Provider Name | Klane K White |
First Address | Seattle, WA 98105-1010 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 03/02/2009 |