Devon Reese Kienzle
Family Doctor
1190 Riddle St
Darrington
, Washington 98241-7722
Devon Reese Kienzle
Family Doctor
1190 Riddle St
Darrington
, Washington 98241-7722
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Devon Reese Kienzle
- 1400 E Kincaid St
- Mount Vernon, WA
- Zip : 98274-4127
- Phone :
Second Address
- Devon Reese Kienzle
- 1190 Riddle St
- Darrington, WA
- Zip : 98241-7722
- Fax : (360) 436-0146
- Phone : (360) 436-1055
Reviews
FAQs
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Is Devon Reese Kienzle a sole practitioner?
Is Devon Reese Kienzle accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | OP61073204 | WA |
National Provider Identifier
| NPI | 1003313222 |
|---|---|
| Provider Name | Devon Reese Kienzle |
| First Address | Mount Vernon, WA 98274-4127 |
| Second Address | Darrington, WA 98241-7722 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2018 |
| Last Update Date | 16/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.