Individual
DR. KIM LAVERNE FELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1660 S COLUMBIAN WAY, S-112-POD, SEATTLE, WA 98108-1532
(206) 277-3715
(206) 764-2529
Mailing address
1660 S. COLUMBIAN WAY, VAPSHCS-S-112-POD, SEATTLE, WA 98108-1597
(206) 277-3715
(206) 764-2529
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
1181
TX
213ES0000X
Sports Medicine Podiatrist
1181
TX
213ES0131X
Foot Surgery Podiatrist
Primary
1181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127187601
—
TX
Enumeration date
07/07/2006
Last updated
12/29/2015
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