Doctor Name: | KEVIN EMAH |
NPI Number: | 1801110614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MT(ASCP) |
License Number: | |
Business Practice Address: | 107 Young St Grand Coulee, WA - 991339703 |
Business Phone Number: | 3012564169 |
Business Fax Number: | |
Mailing Address: | 107 Young St, GRAND COULEE |
State: | WA |
Postal Code: | 991339703 |
Phone Number: | 3012564169 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2010 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZG1000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Geneticist, Medical (PhD) |
Taxonomy Definition: |