Individual
KEVIN P. SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5300 TALLMAN AVE NW, SEATTLE, WA 98107-3932
(206) 781-6344
(206) 781-6184
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 781-6344
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9630476
—
WA
Enumeration date
10/25/2006
Last updated
02/17/2009
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