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1265654214
KENNETH WILLARD FRATICELLI
KALISPELL, MT
NPI
1265654214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MT 11355)
Enumeration Date
2007-05-02
Last Update Date
2011-05-12
Business Address
-- KENNETH WILLARD FRATICELLI MD
310 SUNNYVIEW LN
KALISPELL, MT 59901-3129
Phone number: 406-752-5111
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Mailing Address
-- KENNETH WILLARD FRATICELLI MD
PO BOX 24823
SEATTLE, WA 98124-0823
Phone number: 425-407-1500
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