Individual
MCKALEB POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10777 GRAFTON PL NW, SILVERDALE, WA 98383-8941
(360) 731-3131
Mailing address
10777 GRAFTON PL NW, SILVERDALE, WA 98383-8941
(360) 731-3131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
948664456
UNITED HEALTHCARE
WA
Enumeration date
05/31/2020
Last updated
05/31/2020
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