Individual
DR. KENNETH L. PARTLOW III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 LILLY RD NE, SUITE 100, OLYMPIA, WA 98506-5117
(360) 491-4211
(360) 493-0407
Mailing address
PO BOX 368, OLYMPIA, WA 98507-0368
(360) 491-8439
(360) 491-6328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00016396
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942705
—
WA
Enumeration date
11/07/2006
Last updated
12/14/2007
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