Individual
MR. KEVIN CONNELL WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADN, RN
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60673622
WA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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