Individual
BONNIE LOUISE KULTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
611 N 39TH AVE, YAKIMA, WA 98902-6348
(509) 249-1288
(509) 249-6249
Mailing address
611 N 39TH AVE, YAKIMA, WA 98902
(509) 249-1288
(509) 249-6249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30002552
WA
363L00000X
Nurse Practitioner
Primary
RN00045276
WA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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