Individual
KEVIN E WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000715
WA
Other
Enumeration date
11/14/2006
Last updated
03/15/2013
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