Karl Frederick Kundert JR. PA-C

NPI 1104007939 - Physician Assistant - 363AM0700X

NPI Details
NPI 1104007939
Gender Male
Enumeration Date 11/20/2007
Last Updated 11/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
450 NW GILMAN BLVD
SUITE 205
ISSAQUAH WA, 98027-2483, US
Phone (425) 391-3737
Fax (425) 392-1510
Business Location
710 THRASHER AVE NE
NORTH BEND WA, 98045-7919, US
Phone (425) 831-2227
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Washington
License Number PA10003011
Remove 1104007939 NPI Number
 

According to our database, Mr. Karl Frederick Kundert JR. PA-C NPI is 1104007939, taxonomy code is 363AM0700X and license number is PA10003011, license state is located at Washington. Karl Frederick Kundert JR. PA-C physically located at 450 Nw Gilman Blvd, Issaquah WA, 98027-2483. NPI Number Karl Frederick Kundert JR. PA-C has the Individual type.

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1104007939 NPI number is provided on an as is basis without warranty of any kind. 1104007939 is maintained by the National Plan & Provider Enumeration System. The contents of Karl Frederick Kundert JR. PA-C are for informational purposes only.