Search › Washington › 106S00000X
Kyle Shorack
NPI 1396481545 · on the registry since 2022
Practice
- Address
- 24120 Van Ry Blvd Ste 400
Mountlake Terrace, WA 98043 - Phone
- (425) 245-9940
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington