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Organization

ELISABETH K KENOYER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELISABETH KENOYER R.N., RNFA (OWNER/MANAGER)
(360) 715-0328
Entity
Organization

Contact information

Practice address
917 10TH ST APT 2, BELLINGHAM, WA 98225-6234
(360) 715-0328
Mailing address
PO BOX 30605, BELLINGHAM, WA 98228-2605

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0109825
LABOR & INDUSTRIES
WA
05
9615311
WA
Enumeration date
03/15/2016
Last updated
03/15/2016
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