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General NPI Number Information
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NPI Number | 1821520461
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Entity Type | Individual
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Provider Name | KAMRAN AMIN KARIM D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2017
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Last Update Date | 08/11/2024
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Provider Practice Location Address
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Address Line | 820 S MCCLELLAN ST STE 101
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City | SPOKANE
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State | WA
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Zip | 99204-2446
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Country | US
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Telephone | 509-464-7930
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 421
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-0421
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Country | US
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Telephone | 866-747-2455
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP61173714
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | OP61173714
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License Number State | WA
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