Doctor Name: | YAKOV KHESIN |
NPI Number: | 1134267677 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMP-C, NCTMB |
License Number: | MA00010390 |
Business Practice Address: | 1530 N 115th St Ste 207 Seattle, WA - 981338411 |
Business Phone Number: | 2063556781 |
Business Fax Number: | 2065231252 |
Mailing Address: | 1530 N 115th St Ste 207, SEATTLE |
State: | WA |
Postal Code: | 981338411 |
Phone Number: | 2063556781 |
Fax Number: | 2065231252 |
NPI Enumeration Date: | 02/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00010390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |