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Contact Information

KEN S HEILBRUNN, MD
545 ANDOVER PARK W
# 109
TUKWILA, WA98188
 Phone: 206-467-1949
 Fax: 206-467-1912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KEN S HEILBRUNN · (Male)

NPI # 1285686394
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 07/08/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00013791
  • WA Medicaid 1055670
  • WA Medicaid 10556760
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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