Individual
KEVIN DANIEL BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195
(858) 752-7653
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61080417
WA
208M00000X
Hospitalist Physician
Primary
MD61080417
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2018
Last updated
11/02/2022
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