Individual
JASON HARRIS KETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 16TH AVE E, GROUP HEALTH COOPERATIVE - CENTRAL CAMPUS, SEATTLE, WA 98112-5211
(206) 326-3055
(206) 326-2379
Mailing address
125 16TH AVE E, GROUP HEALTH COOPERATIVE - CENTRAL CAMPUS, SEATTLE, WA 98112-5211
(206) 326-3055
(206) 326-2379
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD00047140
WA
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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