Organization
KLEENWELL MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARI JO ROWLAND DME (AUTHORIZED OFFICIAL)
(206) 433-0715
Entity
Organization
Contact information
Practice address
15411 4TH AVE SW, SUITE B, BURIEN, WA 98166-2571
(206) 433-0715
(206) 241-0370
Mailing address
15411 4TH AVE SW, SUITE B, BURIEN, WA 98166-2571
(206) 433-0715
(206) 241-0370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9037789
—
WA
Enumeration date
05/02/2007
Last updated
08/22/2020
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