Individual
MR. KENT LAMAR BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 116TH AVE NE, BELLEVUE, WA 98004
(425) 454-7912
(425) 454-7034
Mailing address
1300 116TH AVE NE, BELLEVUE, WA 98004
(425) 454-7912
(425) 454-7034
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00018638
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8543308
—
WA
01
—
B163
BLUE SHIELD
WA
Enumeration date
07/28/2006
Last updated
08/25/2011
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