Healthcare Provider Details
I. General information
NPI: 1457321739
Provider Name (Legal Business Name): HARRY AARON KAHN M.D. M.P.H. FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/26/2006
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12333 NE 130TH LN SUITE 420
KIRKLAND WA
98034-7467
US
IV. Provider business mailing address
805 MADISON ST SUITE 901
SEATTLE WA
98104-1172
US
V. Phone/Fax
- Phone: 425-250-4700
- Fax: 425-899-5523
- Phone: 206-264-8100
- Fax: 206-264-8689
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208C00000X |
| Taxonomy | Colon & Rectal Surgery Physician |
| License Number | MD33795 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | MD33795 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: