Individual
HENRY CHARLES KAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2970 SW AVALON WAY, SEATTLE, WA 98126-2551
(206) 883-2051
Mailing address
2970 SW AVALON WAY, SEATTLE, WA 98126-2551
(206) 883-2051
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60897677
WA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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