Feldman, Kenneth Wayne

Feldman, Kenneth Wayne is an individual health care provider with primary practice located at 2101 E Yesler Way #100, Seattle WA 98122-5959. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Feldman, Kenneth Wayne can be contacted via phone (206) 987-7248.

Contact Information

Primary practice address
2101 E Yesler Way #100 Seattle WA 98122-5959
Fax: (206) 329-9764
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00011919 Washington

Profile Details

NPI number 1154411049
LBN Legal business name Feldman, Kenneth Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 28th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154411049 NPPES
Washington MEDICAID 1261007
Washington Other 9082

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