Individual
PETER JAMES KUDENCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195-6043
(206) 598-4300
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00018338
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD00018338
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2337
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8105462
—
WA
Enumeration date
10/13/2006
Last updated
04/08/2011
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