Individual
COURTNEY MARIE KENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5920 100TH ST SW, SUITE 31, LAKEWOOD, WA 98499-2751
(253) 584-3023
(253) 582-1222
Mailing address
5920 100TH ST SW, SUITE 26C, LAKEWOOD, WA 98499-2751
(253) 830-2030
(253) 830-2055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60413256
WA
Other
Enumeration date
06/29/2012
Last updated
08/18/2015
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