Kevin Johnston Blue

NPI 1740508886 - Podiatrist - 213E00000X

NPI Details
NPI 1740508886
Gender Male
Enumeration Date 05/13/2010
Last Updated 03/19/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
11821 NE 128TH ST
SUITE A
KIRKLAND WA, 98034-7210, US
Phone (425) 899-3234
Fax (425) 899-3235
Business Location
11821 NE 128TH ST
SUITE A
KIRKLAND WA, 98034-7210, US
Phone (425) 899-3234
Fax (425) 899-3235
Toxanomy
Taxonomy Code 213E00000X
License State Washington
License Number PO60361504
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According to our database, Kevin Johnston Blue NPI is 1740508886, taxonomy code is 213E00000X and license number is PO60361504, license state is located at Washington. Kevin Johnston Blue physically located at 11821 Ne 128th St, Kirkland WA, 98034-7210. NPI Number Kevin Johnston Blue has the Individual type.

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1740508886 NPI number is provided on an as is basis without warranty of any kind. 1740508886 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Johnston Blue are for informational purposes only.