MEDICARE: DR. KIMBERLY A KRESSIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	MD00043071	WA
2	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0185034	OTHER	WA	DEPT OF LABOR & INDUSTRIE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8938426	OTHER	WA	CRIME VICTIMS PGM
4	3997KR	OTHER	WA	REGENCE BLUE SHIELD

General Provider Information

NPI Number	:	1265413108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY A KRESSIN M.D.

Provider Business Mailing Address
First Line	:	1919 47TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-1920
Country	:	US
Telephone Number	:	206-276-6137
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 47TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-1920
Country	:	US
Telephone Number	:	206-276-6137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	02/02/2026

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