Individual
KYLE J BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2671 NE 46TH ST, SEATTLE, WA 98105-5041
(206) 525-8000
(206) 525-8070
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
(206) 341-0274
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60371397
WA
2084P0804X
Child & Adolescent Psychiatry Physician
60371397
WA
Other
Enumeration date
05/08/2009
Last updated
01/15/2021
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