Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | MD00026580 | WA |
Y | 207RP1001X | Pulmonary Disease | MD00026580 | WA |
NPI | 1063564912 |
---|---|
Provider Name | Dr. Kenneth P Steinberg |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104-2420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 13/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231987 | L&I (01) | WA |
1063564912 | (05) | WA |
F31814 | (02) | WA |