Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD00045381 | WA |
NPI | 1336224138 |
---|---|
Provider Name | Kristine Elizabeth Calhoun |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6165 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 25/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0230784 | L&I (01) | WA |
1336224138 | (05) | WA |
2038324 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
I13926 | (02) |