Individual
DEVON REESE KIENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1190 RIDDLE ST, DARRINGTON, WA 98241-7722
(360) 436-1055
(360) 436-0146
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61073204
WA
Other
Enumeration date
04/13/2018
Last updated
09/16/2021
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