Individual
DUSTIN KYLE ENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16550 177TH AVE SE, MONROE, WA 98272-1968
(360) 794-2829
Mailing address
16550 177TH AVE SE, MONROE, WA 98272-1968
(360) 794-2829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60983313
WA
Other
Enumeration date
06/15/2017
Last updated
08/04/2020
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