Individual
DR. KALE QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-6500
Mailing address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OL60572023
WA
Other
Enumeration date
05/11/2015
Last updated
06/08/2020
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