Individual provider · Type 1 NPI
Krysta Lee Shove, L.M.P.
Specialist · Lynnwood, WA
NPI number
1144518978
Active
Practice location
16303 Hwy 99, Suite 2B
Lynnwood, WA 98087-1453
Fax (425) 743-9409
Mailing address
2141 N 113th St, APT# 201
Seattle, WA 98133-8580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA60214993 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1144518978
Krysta Lee Shove, L.M.P.'s National Provider Identifier is 1144518978, issued on Jul 13, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lynnwood, WA. The record was last updated on Jul 13, 2011.