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Individual

KENNETH WAYNE FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2101 E YESLER WAY, #100, SEATTLE, WA 98122-5959
(206) 987-7248
(206) 329-9764
Mailing address
2101 EAST YESLER WAY, #100, SEATTLE, WA 98122
(206) 987-7248
(206) 329-9764

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00011919
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1261007
WA
01
9082
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/13/2006
Last updated
05/28/2014
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