Individual
KEVIN T DOOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 112TH AVE NE, SUITE C210, BELLEVUE, WA 98004-3732
(425) 454-2191
(425) 453-1270
Mailing address
1200 112TH AVE NE, SUITE C210, BELLEVUE, WA 98004-3732
(425) 454-2191
(425) 453-1270
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD60080408
WA
208000000X
Pediatrics Physician
1336-TEP
WI
2080P0201X
Pediatric Allergy/Immunology Physician
MD60080408
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067890
L&I
WA
05
—
8547648
—
WA
Enumeration date
04/21/2006
Last updated
03/22/2017
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