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Individual

MS. KANTHI AKKINENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3530
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3530

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2589
TN
363AM0700X
Medical Physician Assistant
Primary
PA60630676
WA

Other

Enumeration date
08/16/2014
Last updated
03/31/2021
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