Individual
FREDERICK D. KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9800 4TH AVE NE, SEATTLE, WA 98115-2152
(206) 302-1300
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00025283
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233182
L&I
WA
05
—
8114043
—
WA
Enumeration date
01/16/2007
Last updated
06/29/2009
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