Individual
NIAMH ELIZABETH KIERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
TR60070524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0282503
L&I
WA
05
—
1568659951
—
WA
Enumeration date
09/28/2007
Last updated
10/16/2012
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