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Individual

KAYLA A SHERIDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61199533
WA
207R00000X
Internal Medicine Physician
ML60955232
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942735832
WA
Enumeration date
04/27/2017
Last updated
02/10/2025
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