Pending Account Requests

First Name: Jesus
Last Name: Castanon-Palacios
Email: jesus.x.castanonpalacios@kp.org
Ordering Department Name: KAISER SEATTLE NEPHROLOGY
National Practicioner ID#:
National User ID: I216279
Street Address: 125 16th Ave E, Seattle, WA
ZIP Code: 98112
Office Phone: 8773262897
Status: Pending
Request Submitted: April 1, 2025 at 1:50 pm