Individual
DR. NEIL K KANESHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17000 140TH AVE NE, SUITE 102, WOODINVILLE, WA 98072
(425) 483-5437
(425) 488-4919
Mailing address
17000 140TH AVE NE, SUITE 102, WOODINVILLE, WA 98072
(425) 483-5437
(425) 488-4919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD32047
WA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD32047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7160179
—
WA
Enumeration date
09/22/2006
Last updated
02/05/2009
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