Individual
KENNETH R. CLASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
15 E CENTRAL AVE, SUITE 3, SPOKANE, WA 99208-1109
(509) 487-5717
(509) 487-0207
Mailing address
15 E CENTRAL AVE, SUITE 3, SPOKANE, WA 99208-1109
(509) 487-5717
(509) 487-0207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA9093
WA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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