Park, Kathleen J

Park, Kathleen J is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Park, Kathleen J can be contacted via phone (206) 223-6600.

Contact Information

Primary practice address
1100 9Th Ave Seattle WA 98101-2756
Phone: (206) 223-6600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD00040435 Washington

Profile Details

NPI number 1790709582
LBN Legal business name Park, Kathleen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 27th, 2008 - about 17 years ago

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 1790709582 NPPES
Washington Other 0039577 L&I
Washington Other 9071PA L&I
Washington Other US7466375 L&I
Washington MEDICAID 8321358 L&I

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