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Individual
KIRK WILLETT
Active
Individual
KIRK WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60451423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558656371
—
WA
01
—
P01367243
RR MEDICARE
WA
Enumeration date
06/09/2011
Last updated
09/29/2016
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