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Individual
DR. KENNETH MICHAEL ETTINGER
Active
Individual
DR. KENNETH MICHAEL ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD00027111
WA
207K00000X
Allergy & Immunology Physician
Primary
MD13428
OR
Other
Enumeration date
08/19/2006
Last updated
02/04/2022
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