Basic Information
Provider Information
NPI: 1992890883
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NESS
FirstName: KATHRYN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 4800 SAND POINT WAY NE
Address2: M/S A5902 PO BOX 5371
City: SEATTLE
State: WA
PostalCode: 981053901
CountryCode: US
TelephoneNumber: 2069875037
FaxNumber: 2069872720
Practice Location
Address1: 4800 SAND POINT WAY NE
Address2: M/S A5902
City: SEATTLE
State: WA
PostalCode: 981053901
CountryCode: US
TelephoneNumber: 2069872640
FaxNumber: 2069872720
Other Information
ProviderEnumerationDate: 10/04/2006
LastUpdateDate: 03/08/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0205XMD 60072838WAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology

No ID Information.


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