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Individual

KENNETH L KAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
Mailing address
1100 9TH AVE, MS: M4 - PA, SEATTLE, WA 98101-2756

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00027915
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039581
LABOR & INDUSTRY
WA
01
100006158
RAILROAD MEDICARE
05
8134421
WA
01
KA8642
BLUE SHIELD
WA
01
US0818961
AETNA/USHC PCP
WA
Enumeration date
07/27/2006
Last updated
08/09/2011
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