Individual
DR. KRISTINE KELLEY EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6968 NE ENETAI LANE, SUQUAMISH, WA 98392-5147
(360) 394-1350
(360) 598-2783
Mailing address
6968 NE ENETAI LANE, SUQUAMISH, WA 98392-5147
(360) 394-1350
(360) 598-2783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00044447
WA
207Q00000X
Family Medicine Physician
Primary
MD00044447
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098825
—
WA
Enumeration date
12/16/2005
Last updated
06/13/2023
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