Organization
ATOMIC2 DERMATOLOGY PLLC
Active
Other names
ATOMIC DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
JO KIEHN (ADMINISTRATOR)
(509) 233-7546
Entity
Organization
Contact information
Practice address
105 S 3RD AVE, WALLA WALLA, WA 99362-2848
(509) 240-2554
Mailing address
9221 SANDIFUR PKWY STE A, PASCO, WA 99301-9241
(509) 430-6339
(509) 795-3508
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2089475
—
WA
Enumeration date
06/16/2021
Last updated
01/09/2023
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