Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | MD00017390 | WA |
Y | 207RR0500X | Rheumatology | MD00017390 | WA |
NPI | 1437259835 |
---|---|
Provider Name | Reynold Michael Karr JR. |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98105-6008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 27/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1437259835 | (05) | WA |
231304 | L&I (01) | WA |
GAB18557 | (02) | WA |