Healthcare Provider Details

I. General information

NPI: 1114972759
Provider Name (Legal Business Name): KARIN KALFF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N 115TH ST
SEATTLE WA
98133-8401
US

IV. Provider business mailing address

PO BOX 3934
SEATTLE WA
98124-3934
US

V. Phone/Fax

Practice location:
  • Phone: 425-353-3788
  • Fax:
Mailing address:
  • Phone: 425-353-3788
  • Fax: 425-353-8041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD00019061
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: