Individual
KEVIN IKUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 223-6600
Mailing address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 223-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54992
CT
207R00000X
Internal Medicine Physician
Primary
MD60816200
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2013
Last updated
10/11/2018
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