Individual
DR. KIRSTEN B EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 WILLOW, WALLA WALLA, WA 99362
(509) 525-5010
(509) 522-9448
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00033172
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084827
—
OR
01
—
109314
L&I
WA
05
—
8193773
—
WA
Enumeration date
02/16/2006
Last updated
03/28/2008
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