Individual
DR. ANDREA LYNN KUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST., SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD61422535
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD61422535
WA
Other
Enumeration date
05/24/2012
Last updated
09/28/2023
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