Individual
DAVID A KREGENOW
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
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD00035187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039574
LABOR & INDUSTRY
WA
01
—
6342KR
BLUE SHIELD
WA
05
—
8235129
—
WA
01
—
MD9426W
ALASKA MEDICAID
WA
01
—
US2878962
AETNA/USHC SPECIALIST
WA
Enumeration date
09/01/2006
Last updated
05/06/2010
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