Individual
KENNETH C PLITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, ARNP, CRNA
Contact information
Practice address
1729 SUNROSE PL SE, MILL CREEK, WA 98012-1391
(425) 743-9849
Mailing address
PO BOX 2329, MOUNT VERNON, WA 98273-7329
(360) 336-6517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00124687
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004670
WA
Other
Enumeration date
07/20/2005
Last updated
09/30/2011
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