Individual
KATIE ELIZABETH KUNNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 827-8811
(360) 330-8969
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61108107
WA
Other
Enumeration date
05/02/2012
Last updated
09/13/2022
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