NPI 1386905917 · live from the CMS NPI Registry
Kelly Anne Griffith-Bauer, M.D.
Dermatology, MOHS-Micrographic Surgery in Seattle, WA. National Provider Identifier 1386905917, active.
NPI record
| NPI | 1386905917 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 509 Olive Way Ste 200&900, Seattle, WA 98101 |
| Practice phone | 206-860-5571 |
| Enumerated | May 30, 2012 |
| Last updated | June 28, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | pg158620 (OR) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | MD60847731 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.