Individual
KURT R BILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12710 TOTEM LAKE BLVD NE, KIRKLAND, WA 98034-2907
(425) 821-4040
Mailing address
PO BOX 646, BOTHELL, WA 98041-0646
(425) 485-3955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023175
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080054786
MEDICARE ID UNSPECIFIED
WA
Enumeration date
06/05/2006
Last updated
04/03/2009
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