Dooms, Kevin T
Dooms, Kevin T is an individual health care provider with primary practice located at 1200 112Th Ave Ne Suite C210, Bellevue WA 98004-3732. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Dooms, Kevin T can be contacted via phone (425) 454-2191.Contact Information
Primary practice address
1200 112Th Ave Ne Suite C210
Bellevue WA 98004-3732
Phone: (425) 454-2191
Fax: (425) 453-1270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD60080408 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1336-TEP | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | MD60080408 | Washington |
Profile Details
| NPI number | 1548226285 |
|---|---|
| LBN Legal business name | Dooms, Kevin T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Mar 22nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548226285 | NPPES |
| Washington | MEDICAID | 8547648 | |
| Washington | Other | 0067890 |
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