Individual
JOHN KYLE FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-2302
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60969719
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD60969719
WA
Other
Enumeration date
03/25/2016
Last updated
08/28/2022
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