Individual
DR. KENNETH A SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
7600 NE 41ST ST, #310, VANCOUVER, WA 98662-6728
(360) 567-1665
(360) 253-3196
Mailing address
7600 NE 41ST ST, #310, VANCOUVER, WA 98662-6728
(360) 567-1665
(360) 253-3196
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY760
WA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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