Individual
DR. KENDRA HATTIE KALLEMEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6238
Mailing address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(503) 813-3860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3318
MN
152W00000X
Optometrist
3398-ATI
OR
152W00000X
Optometrist
Primary
OD60431512
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2009
Last updated
02/04/2022
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