Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | DE00010138 | WA |
N | 1223G0001X | General Practice | DE00010138 | WA |
N | 213EG0000X | General Practice | DE00010138 | WA |
NPI | 1891718342 |
---|---|
Provider Name | Steven J Karmy |
First Address | Walla Walla, WA 99362-2228 |
Second Address | Walla Walla, WA 99362-2228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 05/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5079986 | (05) | WA |