Individual
KYM R AHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4500 SAND POINT WAY NE, #100, SEATTLE, WA 98105-3900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00045088
WA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD00045088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293170
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8430894
—
WA
Enumeration date
10/17/2006
Last updated
02/03/2009
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