Gross, Kenneth M

Gross, Kenneth M is an individual health care provider with primary practice located at 904 7Th Ave , Seattle WA 98104-1132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gross, Kenneth M can be contacted via phone (206) 329-1760.

Contact Information

Primary practice address
904 7Th Ave Seattle WA 98104-1132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD00020430 Washington

Profile Details

NPI number 1831155969
LBN Legal business name Gross, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831155969 NPPES
Washington Other 069741009 GROUP HEALTH PROVIDER NUM
Washington MEDICAID 8114050 GROUP HEALTH PROVIDER NUM

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