KENNARD D MCNICHOLS

RENTON, WA
NPI1528087285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD00015939)
Enumeration Date2006-07-19
Last Update Date2012-09-28
Business Address
-- KENNARD D MCNICHOLS MD
10555 SE CARR RD
RENTON, WA 98055-5820
Phone number: 425-656-4270
Mailing Address
-- KENNARD D MCNICHOLS MD
PO BOX 34876
SEATTLE, WA 98124-1876
Phone number: 425-656-5412