Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 006826 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | PO60894973 | WA |
NPI | 1063897916 |
---|---|
Provider Name | Yan Rong Cullen |
First Address | Kirkland, WA 98034-3008 |
Second Address | Kirkland, WA 98034-3008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2015 |
Last Update Date | 18/01/2019 |