Basic Information
| Provider Information | |||||||||
| NPI: | 1851498109 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CASE | ||||||||
| FirstName: | KEVIN | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10055 MEYDENBAUER WAY #4 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980046091 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256888111 | ||||||||
| FaxNumber: | 4256888110 | ||||||||
| Practice Location | |||||||||
| Address1: | 1135 - 116TH AVE NE #320 | ||||||||
| Address2: | OBSTETRIX | ||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256888111 | ||||||||
| FaxNumber: | 4256888110 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085U0001X | 18207 | WA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound |
No ID Information.