Individual
KATHY A RISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2671 NE 46TH ST, SEATTLE, WA 98105-5041
(206) 525-8000
(206) 525-8070
Mailing address
1100 9TH AVE, MS: M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00037889
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039577
LABOR AND INDUSTRIES #
WA
01
—
7556RI
BLUE SHIELD #
WA
05
—
8291692
—
WA
05
—
MD0948W
—
AK
01
—
US7586226
AETNA SPECIALIST PIN
WA
Enumeration date
10/02/2006
Last updated
11/26/2013
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