Individual
MACKENZIE KULSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61182128
WA
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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