Individual
KENNETH N MAHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, MS:M4 - PA, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY, MS:M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00033066
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060051021
RAILROAD MEDICARE
WA
01
—
806332000
IDAHO MEDICAID
WA
05
—
8180978
—
WA
01
—
MA5090
INDIVIDUAL BLUE SHIELD
WA
01
—
MD6633
ALASKA MEDICAID
WA
Enumeration date
02/06/2006
Last updated
06/17/2008
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