Individual
KYLE KLOOTWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1909 11TH AVE W, #103, SEATTLE, WA 98119-2886
(832) 221-2268
Mailing address
1909 11TH AVE W, #103, SEATTLE, WA 98119-2886
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60444702
WA
Other
Enumeration date
04/05/2014
Last updated
06/07/2016
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