Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00031974 | MD |
Y | 207X00000X | Orthopaedic Surgeon | MD00031974 | WA |
NPI | 1003882515 |
---|---|
Provider Name | Peter E Krumins |
First Address | Seattle, WA 98104-1172 |
Second Address | Lakewood, WA 98499-8000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 05/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000151 | (05) | WA |
346702 | WA STATE LNI (01) | WA |
F95378 | (02) |