MEDICARE: VICTORIA KESSELRING

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	163W00000X	Registered Nurse	RN61238343	WA

General Provider Information

NPI Number	:	1508716671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA KESSELRING

Provider Business Mailing Address
First Line	:	PO BOX 3007
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98114-3007
Country	:	US
Telephone Number	:	206-788-3650
Fax Number	:	206-490-4011

Provider Business Practice Location Address
First Line	:	3815 S OTHELLO ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3510
Country	:	US
Telephone Number	:	206-788-3500
Fax Number	:	206-788-3500

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

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “ VICTORIA KESSELRING ” Practice Location

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