Healthcare Provider Details

I. General information

NPI: 1558800797
Provider Name (Legal Business Name): ALEXANDER KLEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 2ND AVE
SEATTLE WA
98121-2207
US

IV. Provider business mailing address

2119 2ND AVE
SEATTLE WA
98121-2207
US

V. Phone/Fax

Practice location:
  • Phone: 206-461-6923
  • Fax:
Mailing address:
  • Phone: 206-461-6923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: