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Individual
KATHRYN L KUNDERT
Active
Individual
KATHRYN L KUNDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001459
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
05
—
8368177
—
WA
01
—
KU6331
BLUE SHIELD #
WA
01
—
US0818577
AETNA PCP PIN
WA
Enumeration date
01/10/2007
Last updated
03/28/2013
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