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Individual

KATHLEEN E ELLSBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
UW CAMPUS, EAST STEVENS CIRCLE, SEATTLE, WA 98195-4410
(206) 616-2495
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019944
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5826
INTERNAL ID-MOTOR VEHICLE ID
05
8364705
WA
Enumeration date
10/27/2006
Last updated
07/08/2007
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