Individual
MELANIE K KUECHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21727 76TH AVE W, STE H, EDMONDS, WA 98026
(425) 672-1333
(425) 672-7755
Mailing address
21727 76TH AVE W, STE H, EDMONDS, WA 98026-7549
(425) 672-1333
(425) 672-7755
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00032948
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4343
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8182164
—
WA
01
—
P00749094
MEDICARE PTAN
WA
Enumeration date
10/27/2006
Last updated
12/15/2021
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