Individual
KYLE BENNETT COONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-B
Contact information
Practice address
1680 SE 2ND CT, OAK HARBOR, WA 98277-5002
(360) 672-2541
Mailing address
1680 SE 2ND CT, OAK HARBOR, WA 98277-5002
(360) 672-2541
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
ES61250254
WA
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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