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Individual

KENNETH B. GASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5678
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5678

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00014791
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0230087
L&I AND CRIME VICTIMS
WA
05
1064864
WA
05
1437155892
WA
01
4591945
AETNA
WA
01
7214GA
REGENCE
WA
Enumeration date
06/21/2005
Last updated
09/30/2010
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