Organization
KENT N. KREISMAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT N KREISMAN MD (OWNER)
(206) 244-8121
Entity
Organization
Contact information
Practice address
16259 SYLVESTER RD SW, SUITE 401, BURIEN, WA 98166-3049
(206) 244-8121
Mailing address
PO BOX 13684, SEATTLE, WA 98198-1010
(206) 241-8121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006170
—
WA
Enumeration date
07/23/2006
Last updated
12/04/2007
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