Individual
JEAN M. KALLHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4294
(206) 598-6986
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
(206) 520-3186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP300002281
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163810
LABOR & INDUSTRY
WA
05
—
1780618736
—
WA
01
—
U79241
REGENCE BLUESHIELD
WA
Enumeration date
07/10/2006
Last updated
06/08/2017
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