Kebron Abebe
Individual provider Active NPI Pharmacist · Seattle, WA
NPI 1295340586 · NPPES record last updated Sep 13, 2020
Key facts
- NPI
- 1295340586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH61074466 (WA)
- Practice address
- 2345 Rainier Ave S
Seattle, WA 98144-5348 - Phone
- (206) 325-5725
- NPI assigned
- Sep 13, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61074466 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61074466 | WA | Yes |
Addresses
Primary practice location
2345 Rainier Ave S
Seattle, WA 98144-5348
Mailing address
2345 Rainier Ave S
Seattle, WA 98144-5348
Phone (206) 325-5725
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.