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NPI Code Detail

MEDICARE: DR. THOMAS RICHARD KLOS N.D.

MEDICARE: DR. THOMAS RICHARD KLOS N.D.
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
1175F00000XNaturopathNT00001014WA

General Provider Information

NPI Number : 1801920400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS RICHARD KLOS N.D.
Provider Business Mailing Address
First Line : 634 7TH AVE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-5665
Country : US
Telephone Number : 425-822-2858
Fax Number :
Provider Business Practice Location Address
First Line : 634 7TH AVE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-5665
Country : US
Telephone Number : 425-822-2858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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