Individual
BRYAN R KESTENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00037299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231349
L&I
WA
05
—
1790860500
—
WA
01
—
251050
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
02/10/2012
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