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Zesemayat Kidanu Mekonnen

NPI Registration Record

Provider / OrganizationNPIDate Certified
ZESEMAYAT KIDANU MEKONNEN15084459332021-04-04

Zesemayat Kidanu Mekonnen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508445933. Registration indicates Zesemayat Kidanu Mekonnen is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Zesemayat Kidanu Mekonnen MD, MSC
Practice Office Address1959 NE PACIFIC ST
SEATTLE, WA US
Practice Office Telephone2065433605
Mailing Address1959 NE PACIFIC STREET BOX 356421
SEATTLE, WA 981956421 US
Business Telephone2065433605
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
WA
OPI Codes

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