Individual
KEVIN DOUGLAS O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6043
(206) 598-4300
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD00023041
WA
207RC0000X
Cardiovascular Disease Physician
MD00023041
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000107662
MEDICARE PIN
WA
01
—
0231657
L&I
WA
05
—
1205926169
—
WA
01
—
6437
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/13/2006
Last updated
03/17/2018
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