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Organization
KOBERNIK OSTEOPATHY INC.
Active
Organization
KOBERNIK OSTEOPATHY INC.
Active
Other names
Sunrise Osteopathy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH DAWN KOBERNIK (ADMINISTRATOR)
(253) 225-7248
Entity
Organization
Contact information
Practice address
10503 GUTHRIE RD, ANDERSON ISLAND, WA 98303-9753
(253) 225-7248
Mailing address
10503 GUTHRIE RD, ANDERSON ISLAND, WA 98303-9753
(253) 225-7248
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
06/15/2019
Last updated
06/17/2019
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