Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD00045088 | WA |
Y | 2080A0000X | Adolescent Medicine | MD00045088 | WA |
NPI | 1154402402 |
---|---|
Provider Name | Kym R Ahrens |
First Address | Seattle, WA 98105-3900 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 03/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
293170 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8430894 | (05) | WA |
I39655 | (02) |