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NPI Code Detail

MEDICARE: MR. JOHN K KANAI MBA, AAC

MEDICARE: MR. JOHN K KANAI MBA, AAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101Y00000XCounselorCG60264890WA

General Provider Information

NPI Number : 1578908927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN K KANAI MBA, AAC
Provider Business Mailing Address
First Line : 6400 SOUTHCENTER BLVD
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2547
Country : US
Telephone Number : 206-901-2000
Fax Number : 206-901-2000
Provider Business Practice Location Address
First Line : 204 NE 94TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2752
Country : US
Telephone Number : 206-461-4580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2013
Last Update Date : 08/16/2022

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