Individual
DR. JENNA KIM MASTERS
Active
Individual
DR. JENNA KIM MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40934
IA
207L00000X
Anesthesiology Physician
MD60288088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297103
LABOR AND INDUSTRY
WA
05
—
1669637948
—
WA
01
—
P01099021
RAILROAD MEDICARE PTAN
—
Enumeration date
07/25/2008
Last updated
11/02/2015
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