Individual
DR. STACEE M KESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4409 NW ANDERSON HILL RD, SILVERDALE, WA 98383-6807
(360) 698-6630
Mailing address
4409 NW ANDERSON HILL RD, SILVERDALE, WA 98383-6807
(360) 698-6630
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00047978
WA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD00047978
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326223009
—
WA
05
—
2027642
—
WA
01
—
312338
LABOR AND INDUSTRIES
WA
Enumeration date
12/31/2007
Last updated
12/04/2020
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