# ATOMIC2 DERMATOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATOMIC DERMATOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891363719
- **Authorized official:** JO KIEHN (ADMINISTRATOR)
- **Authorized official phone:** (509) 233-7546

## Contact information

- **Practice address:** 105 S 3RD AVE, WALLA WALLA, WA 99362-2848
- **Practice address phone:** (509) 240-2554
- **Mailing address:** 9221 SANDIFUR PKWY STE A, PASCO, WA 99301-9241
- **Mailing address phone:** (509) 430-6339
- **Mailing address fax:** (509) 795-3508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 01/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2089475 | — | WA |