Individual
DR. NICOLE M KUDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD60438803
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831357094
—
WA
Enumeration date
05/23/2008
Last updated
04/15/2015
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