Individual
DR. STEPHEN ALAN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FRCSC
Contact information
Practice address
4245 ROOSEVELT WAY NE, BOX 354740, SEATTLE, WA 98105-6008
(206) 598-4288
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD60302144
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487943098
—
WA
01
—
PENDING
L&I
WA
Enumeration date
04/04/2011
Last updated
03/13/2013
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