Individual
MR. KENNETH R SEBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E MADRONA BEACH LN, UNION, WA 98592-0621
(360) 898-0261
(360) 357-9392
Mailing address
100 E MADRONA BEACH LN, POB 621, UNION, WA 98592
(360) 898-0261
(360) 357-9485
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00031767
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1116243
—
WA
01
—
162846
L AND I
—
Enumeration date
08/29/2006
Last updated
05/15/2013
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