Individual
KAILEEN JAFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(845) 750-2751
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(845) 750-2751
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD60864248
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/30/2015
Last updated
02/01/2022
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