Individual
KENLEY R UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2586
(360) 428-6470
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61426240
WA
Other
Enumeration date
03/23/2018
Last updated
10/08/2024
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