Individual
CHRISTI M KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3409 NE 57TH STREET, SEATTLE, WA 98105
(206) 617-1190
Mailing address
3409 NE 57TH STREET, SEATTLE, WA 98105-2329
(206) 617-1190
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00023279
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49326
LABOR & INDUSTRY
WA
01
—
5891740001
DME
WA
01
—
660000764
PALMETTO RR MEDICARE
WA
05
—
8152415
—
WA
01
—
KE5443
REGENCE
WA
Enumeration date
09/23/2005
Last updated
07/10/2018
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