Healthcare Provider Details

I. General information

NPI: 1194060574
Provider Name (Legal Business Name): JULIE ANN KALOPER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2012
Last Update Date: 12/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 NW 65TH ST
SEATTLE WA
98117-5531
US

IV. Provider business mailing address

9024 22ND AVE NW
SEATTLE WA
98117-2711
US

V. Phone/Fax

Practice location:
  • Phone: 206-252-1727
  • Fax: 206-252-1721
Mailing address:
  • Phone: 206-252-1727
  • Fax: 206-252-1721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN00073057
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: