Provider Demographics
NPI:1689012304
Name:BASNET, KRISTEN M (MD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:BASNET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1124 COLUMBIA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2048
Mailing Address - Country:US
Mailing Address - Phone:206-576-6050
Mailing Address - Fax:206-215-5935
Practice Address - Street 1:1124 COLUMBIA ST STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2048
Practice Address - Country:US
Practice Address - Phone:206-576-6050
Practice Address - Fax:206-215-5935
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60871365207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology