Individual
KENNETH EUGENE MAYEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2902 BEACON AVE S, SEATTLE, WA 98144-5816
(206) 322-1211
(206) 322-0451
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00015158
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1202407
—
WA
Enumeration date
06/25/2006
Last updated
03/21/2008
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