Individual
MARY JO KINTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7315 212TH ST SW, SUITE 101, EDMONDS, WA 98026-7610
(425) 775-9474
(425) 670-3554
Mailing address
7315 212TH ST SW, SUITE 101, EDMONDS, WA 98026-7610
(425) 775-9474
(425) 670-3554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00024637
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032846
—
WA
Enumeration date
01/11/2007
Last updated
02/05/2014
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