Pending Account Requests

First Name: Jesus (Omar)
Last Name: Castanon
Email: jesus.x.castanonpalacios@kp.org
Ordering Department Name: KAISER SEATTLE NEPHROLOGY
National Practicioner ID#:
National User ID: I216279
Street Address: 125 16TH Ave East
ZIP Code: 98112
Office Phone: 877-356-8943
Status: Pending
Request Submitted: March 25, 2025 at 3:50 pm