Mrs. Nicole Prevo Kageyama
Dermatologist Dermatopathologist
1412 Sw 43rd St Ste 205
Renton
, Washington 98057-4803
Mrs. Nicole Prevo Kageyama
Dermatologist Dermatopathologist
1412 Sw 43rd St Ste 205
Renton
, Washington 98057-4803
(425) 457-7499
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Mrs. Nicole Prevo Kageyama
- 1200 112th Ave Ne Suite C-187
- Bellevue, WA
- Zip : 98007
- Fax : (425) 457-7499
- Phone : (425) 457-7900
Second Address
- Mrs. Nicole Prevo Kageyama
- 1412 Sw 43rd St Ste 205
- Renton, WA
- Zip : 98057-4803
- Fax : (425) 264-0601
- Phone : (425) 264-0660
Reviews
FAQs
Where did Mrs. Nicole Prevo Kageyama attend graduate school?
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Where did Mrs. Nicole Prevo Kageyama do her fellowship?
Is Mrs. Nicole Prevo Kageyama board certified?
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What is Mrs. Nicole Prevo Kageyama ’s gender?
Is Mrs. Nicole Prevo Kageyama a sole practitioner?
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Does Mrs. Nicole Prevo Kageyama have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD00046078 | WA |
| N | 207ND0900X | Dermatopathologist | MD00046078 | WA |
National Provider Identifier
| NPI | 1407858665 |
|---|---|
| Provider Name | Mrs. Nicole Prevo Kageyama |
| First Address | Bellevue, WA 98007 |
| Second Address | Renton, WA 98057-4803 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2005 |
| Last Update Date | 07/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H64679 | (02) | |
| P00301940 | RAILROAD MEDICARE (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.