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Individual

DR. KENT EMERSON WALLNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1660 S COLUMBIAN WAY, MS 174, SEATTLE, WA 98108-1532
(206) 768-5356
(206) 768-5331
Mailing address
1660 S COLUMBIAN WAY, MS 174, SEATTLE, WA 98108-1532
(206) 768-5356
(206) 768-5331

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00035565
WA

Other

Enumeration date
09/23/2006
Last updated
07/08/2007
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