Individual
DIETRICH KONRAD KLINGHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11656 98TH AVE NE, KIRKLAND, WA 98034-4216
(425) 823-8818
(425) 823-8817
Mailing address
11656 98TH AVE NE, KIRKLAND, WA 98034-4216
(425) 823-8818
(425) 823-8817
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00022065
WA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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