Individual
KRISTIN E. KAUPANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
325 9TH AVE, BOX 359735, SEATTLE, WA 98104-2420
(206) 341-4612
(206) 341-4614
Mailing address
325 9TH AVE, BOX 359735, SEATTLE, WA 98104-2420
(206) 341-4612
(206) 341-4614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008516
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75068U
REGENCE BLUE SHIELD PIN
WA
Enumeration date
08/31/2006
Last updated
07/08/2007
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