Individual
JAY KLOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S 320TH ST, SUITE D, FEDERAL WAY, WA 98003-4691
(253) 839-8779
(253) 941-6941
Mailing address
700 S 320TH ST, SUITE D, FEDERAL WAY, WA 98003-4691
(253) 839-8779
(253) 941-6941
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00030478
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7117252
—
WA
05
—
8233041
—
WA
Enumeration date
08/29/2006
Last updated
07/09/2007
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