Individual
MARC A KRAVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039598
LABOR & INDUSTRY
WA
05
—
1501600
—
WA
01
—
480020062
RAILROAD MEDICARE
—
01
—
KR5006
BLUE SHIELD
WA
01
—
PD256WA
ALASKA MEDICAID
WA
01
—
US4350544
AETNA/USHC SPECIALIST
WA
Enumeration date
09/01/2006
Last updated
06/17/2008
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