Individual
OWEN TM KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26004 104TH AVE SE, KENT, WA 98030-7677
(425) 251-4040
Mailing address
26004 104TH AVE SE, KENT, WA 98030-7677
(425) 251-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60767725
WA
Other
Enumeration date
04/12/2015
Last updated
04/22/2021
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