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Individual

DR. KEVAN MICHAEL PETTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, FNP

Contact information

Practice address
901 BOREN AVE STE 1900, SEATTLE, WA 98104-3508
(206) 622-6444
Mailing address
2353 YALE AVE E UNIT A, SEATTLE, WA 98102-3309
(206) 679-7167

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61145175
WA

Other

Enumeration date
02/23/2021
Last updated
02/23/2021
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