Individual
JENNIFER RUTH KOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, G1-MSO, SEATTLE, WA 98101-2756
(206) 223-6851
Mailing address
1100 9TH AVE, G1-MSO, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
60085564
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299283
LABOR & INDUSTRY
WA
Enumeration date
08/31/2006
Last updated
04/24/2013
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