Individual
DR. KYLE JAMES KINDERKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9301
(800) 813-2000
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101256995
VA
207Q00000X
Family Medicine Physician
FK3034648
WA
207Q00000X
Family Medicine Physician
Primary
MD215693
OR
Other
Enumeration date
06/11/2013
Last updated
07/24/2023
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