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Individual

KEN W BALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
9800 4TH AVE NE, SEATTLE, WA 98115
(206) 302-1413
(206) 302-1272
Mailing address
9800 4TH AVE NE, SEATTLE, WA 98115
(206) 302-1413
(206) 302-1272

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
03/14/2008
Last updated
03/14/2008
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