Individual
KENNETH M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00020430
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069741009
GROUP HEALTH PROVIDER NUM
WA
05
—
8114050
—
WA
Enumeration date
04/26/2006
Last updated
08/30/2023
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