Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD00047978 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD00047978 | WA |
NPI | 1326223009 |
---|---|
Provider Name | Dr. Stacee M Kessinger |
First Address | Silverdale, WA 98383-6807 |
Second Address | Silverdale, WA 98383-6807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2007 |
Last Update Date | 04/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1326223009 | (05) | WA |
2027642 | (05) | WA |
312338 | LABOR AND INDUSTRIES (01) | WA |