Kanda, Stacy Reed
Kanda, Stacy Reed is an sole proprietor health care provider with primary practice located at 2335 Sw 320Th St Suite 1, Federal Way WA 98023-2569. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kanda, Stacy Reed can be contacted via phone (253) 661-2222.Contact Information
Primary practice address
2335 Sw 320Th St Suite 1
Federal Way WA 98023-2569
Phone: (253) 661-2222
Fax: (253) 661-1544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00005273 | Washington |
Profile Details
| NPI number | 1063495174 |
|---|---|
| LBN Legal business name | Kanda, Stacy Reed |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1063495174 | NPPES |
| Washington | MEDICAID | 5547500 |
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