Kenneth R Sebby, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Union, WA
NPI 1881703643 · NPPES record last updated May 15, 2013
Key facts
- NPI
- 1881703643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD00031767 (WA)
- Practice address
- 100 E Madrona Beach LN
Union, WA 98592-0621 - Phone
- (360) 898-0261
- Fax
- (360) 357-9392
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12481 | NE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00031767 | WA | Yes |
Addresses
Primary practice location
100 E Madrona Beach LN
Union, WA 98592-0621
Mailing address
100 E Madrona Beach LN
Pob 621
Union, WA 98592
Phone (360) 898-0261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1116243 | Medicaid | WA | |
| 162846 | Other | L AND I |
Other providers in Union, WA
- Ronald Earl Bock
- Hood Canal Therapy and Fitness
- Mason County Fire Prote
- Mason County Fire Protection Dist No 6
- James Rose
- Cody J Taylor
- Ruth Ann Tremblay
All providers in Union, WA · Orthopaedic Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2013. 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.