MEDICARE: DAVID K KUECHLE MD

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	207X00000X	Orthopaedic Surgery Physician	MD00032709	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200033896	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0118246	OTHER	WA	STATE L/I

General Provider Information

NPI Number	:	1508865429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID K KUECHLE MD

Provider Business Mailing Address
First Line	:	805 MADISON ST
Second Line	:	SUITE 901
City	:	SEATTLE
State	:	WA
Zip	:	98104-1172
Country	:	US
Telephone Number	:	206-264-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	7320 216TH ST SW
Second Line	:	SUITE 320
City	:	EDMONDS
State	:	WA
Zip	:	98026-8006
Country	:	US
Telephone Number	:	425-673-3900
Fax Number	:	425-673-3910

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/17/2016

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Directions to “ DAVID K KUECHLE MD” Practice Location

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