Individual
KAITLIN HUENNEKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1019 112TH ST SW, EVERETT, WA 98204-4875
(425) 789-3789
Mailing address
1019 112TH ST SW, EVERETT, WA 98204-4875
(425) 789-3789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61465517
WA
Other
Enumeration date
08/31/2017
Last updated
09/04/2025
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