Individual
KEVIN M BESHLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD00021033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039572
LABOR & INDUSTRY
WA
01
—
240007139
RAILROAD MEDICARE
—
01
—
3331BE
BLUE SHIELD
WA
05
—
8275869
—
WA
01
—
MD5119W
AK DSHS
WA
01
—
US5898036
AETNA/USHC SPECIALIST
WA
Enumeration date
08/25/2006
Last updated
04/13/2012
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