=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447398912
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALLAN KAPLAN LMP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2007
-----------------------------------------------------
Last Update Date | 09/25/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3417 EVANSTON AVE N STE 417
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98103-8969
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-463-7560
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6503 SW LUANA BEACH RD
-----------------------------------------------------
City | VASHON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98070-7221
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-463-7560
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 4384
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------