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Individual

DR. JONATHAN AARON KULLNAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD60209727
WA
2085R0202X
Diagnostic Radiology Physician
4301505566
MI
2085R0202X
Diagnostic Radiology Physician
Primary
MD60209727
WA
2085R0202X
Diagnostic Radiology Physician
RT 1621
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2013241
WA
Enumeration date
09/13/2006
Last updated
01/14/2025
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