Individual
KYLE JOSEPH HENNEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16040 NE 153RD ST, WOODINVILLE, WA 98072-8903
(208) 416-2932
(855) 673-9190
Mailing address
22100 BOTHELL EVERETT HWY, BOTHELL, WA 98021-8431
(208) 416-2932
(855) 673-9190
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00047394
WA
Other
Enumeration date
10/12/2006
Last updated
07/06/2023
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