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Organization

RAINIER FAMILY AND SPORTS MEDICINE P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENT R WALKER DO (CEO/PRESIDENT)
(253) 987-7754
Entity
Organization

Contact information

Practice address
16202 64TH ST E STE 104, SUMNER, WA 98390-3028
(253) 987-7754
(253) 987-7049
Mailing address
1402 LAKE TAPPS PKWY SE, STE F104 #133, SUMNER, WA 98390
(253) 987-7754
(253) 987-7049

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
06/23/2020
Last updated
09/14/2020
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