| NPI | 1538908074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENOYE R UKU Owner 206-456-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2026-03-11 |