Individual
MR. THOMAS A KVAMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1727TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059882
L AND I
WA
05
—
2006351
—
WA
01
—
KV2000
REGENCE
WA
Enumeration date
11/27/2006
Last updated
04/11/2017
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