Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 29120 | WV |
N | 208600000X | Surgeon | 29120 | WV |
N | 208200000X | Surgeon | 61182693 | WA |
N | 208600000X | Surgeon | 61182693 | WA |
N | 208200000X | Surgeon | MD-47359 | IA |
N | 208600000X | Surgeon | MD-47359 | IA |
N | 2086S0105X | Surgery of the Hand | MD-47359 | IA |
N | 2086S0122X | Plastic and Reconstructive Surgery | 29120 | WV |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 61182693 | WA |
N | 2086S0122X | Plastic and Reconstructive Surgery | MD-47359 | IA |
NPI | 1790002350 |
---|---|
Provider Name | Kristopher M. Day |
First Address | Bellevue, WA 98005-3028 |
Second Address | Bellevue, WA 98005-3028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2010 |
Last Update Date | 31/08/2021 |