Individual
DR. KYLE ROWLEY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 MAIN ST, WAITSBURG, WA 99361-9734
(509) 337-6311
(509) 337-6011
Mailing address
PO BOX 247, WAITSBURG, WA 99361-0247
(509) 337-6311
(509) 337-6011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60153761
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G553020
—
CA
Enumeration date
02/28/2006
Last updated
12/07/2012
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