Individual
DENNIS JAY KVIDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MINOR AVE, STE 240, SEATTLE, WA 98104
(206) 386-9500
(206) 386-9538
Mailing address
PO BOX 3489, SEATTLE, WA 98114-3489
(206) 386-9500
(206) 386-9538
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00016053
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163145
LABOR & INDUSTRY
WA
Enumeration date
06/11/2006
Last updated
07/08/2007
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