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1528087285
KENNARD D MCNICHOLS
RENTON, WA
NPI
1528087285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00015939)
Enumeration Date
2006-07-19
Last Update Date
2012-09-28
Business Address
-- KENNARD D MCNICHOLS MD
10555 SE CARR RD
RENTON, WA 98055-5820
Phone number: 425-656-4270
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Mailing Address
-- KENNARD D MCNICHOLS MD
PO BOX 34876
SEATTLE, WA 98124-1876
Phone number: 425-656-5412
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