Individual
MR. KEN S. HEILBRUNN
Active
Individual
MR. KEN S. HEILBRUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00013791
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00013791
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055670
—
WA
05
—
10556760
—
WA
Enumeration date
05/17/2006
Last updated
07/08/2011
Update your record
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