Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
KIET 206-322-7676, X6204 PHAM
Active
Individual
KIET 206-322-7676, X6204 PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
05/12/2025
Last updated
08/17/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers