Individual
DR. SIMONE WELCH KANTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, MAILSTOP: X11-PRS, SEATTLE, WA 98101-2756
(206) 223-6831
Mailing address
1100 9TH AVE, MAILSTOP: X11-PRS, SEATTLE, WA 98101-2756
(206) 223-6831
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2008016447
MO
208200000X
Plastic Surgery Physician
A130253
CA
208200000X
Plastic Surgery Physician
Primary
MD60579867
WA
Other
Enumeration date
07/01/2008
Last updated
02/08/2017
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