Individual provider · Type 1 NPI
Panisima Kanokkaew
Specialist · Bellevue, WA
NPI number
1942438833
Active
Practice location
1220 116th Ave NE #203
Bellevue, WA 98004
Mailing address
580 Front St S Apt. D212
Issaquah, WA 98027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00022414 (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 1942438833
Panisima Kanokkaew's National Provider Identifier is 1942438833, issued on Jun 30, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bellevue, WA. The record was last updated on Jun 30, 2009.