KENNETH WAYNE KOOSER

LACEY, WA
NPI1306920772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD60320788)
Enumeration Date2006-10-24
Last Update Date2021-06-16
Business Address
Dr. KENNETH WAYNE KOOSER M.D.
4800 COLLEGE ST SE
LACEY, WA 98503-4389
Phone number: 360-486-2900
Mailing Address
Dr. KENNETH WAYNE KOOSER M.D.
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number: 866-366-2983
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