Kortne King Frederick in Tukwila - Dentist
Kortne King Frederick - NPI 1235391780
Kortne King Frederick is a Dentist in Tukwila, Washington. Kortne King Frederick practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kortne King Frederick is 1235391780. The last update date is 2008-10-29.
Kortne King Frederick's current location address is 411 Strander Blvd Ste 102, Tukwila, Washington. You can contact this provider via phone number 2065751194 and fax number 2065753194. The mailing address for Kortne King Frederick is 411 Strander Blvd Ste 102, Tukwila, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kortne King Frederick |
|---|---|
| Address | 411 Strander Blvd Ste 102, Tukwila, Washington |
| Phone Number | 2065751194 |
| Fax Number | 2065753194 |
| Sole Proprietor | Y |
| Credentials | DDS, MDS |
NPI Number Detail
| NPI Number | 1235391780 |
|---|---|
| Provider Enumeration Date | 2008-06-26 |
| Last Updated Date | 2008-10-29 |
Provider Mailing Address Detail
| Address | 411 Strander Blvd Ste 102 |
|---|---|
| City | Tukwila |
| State | Washington (WA) |
| Post Code | 981882961 |
| Phone Number | 2065751194 |
| Fax Number | 2065753194 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE60016836 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Kortne King Frederick by the Centers for Medicare & Medicaid Services?
The Kortne King Frederick has been issued the NPI (National Provider Identifier) 1235391780 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kortne King Frederick is physically located?
The Kortne King Frederick is physically situated at the following address: 411 Strander Blvd Ste 102, Tukwila, WA, 981882961.
What is the Kortne King Frederick's area of specialization and corresponding taxonomy classification?
The Kortne King Frederick's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Kortne King Frederick receive its 1235391780 assignment from the Centers for Medicare & Medicaid Services?
The Kortne King Frederick was assigned its 1235391780 by the Centers for Medicare & Medicaid Services on 2008-06-26.
As of what date were the details pertaining to Kortne King Frederick last refreshed?
The information related to the Kortne King Frederick, including its address, specialty, and other relevant details, was last updated on 2008-10-29.