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Individual

DR. SCOTT C KENNARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(206) 244-1212
(206) 244-1223
Mailing address
PO BOX 48159, BURIEN, WA 98148-0159
(206) 244-1212
(206) 244-1223

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00018489
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0165306
DEPT OF LABOR & INDUSTRIE
WA
05
1960103
WA
01
8934231
CRIME VICTIMS PGM
WA
01
K172
REGENCE BLUE SHIELD
WA
Enumeration date
11/08/2005
Last updated
07/08/2007
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