Kienzle, Gregery

Kienzle, Gregery is an individual health care provider with primary practice located at 2901 Squalicum Pkwy , Bellingham WA 98225-1851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kienzle, Gregery can be contacted via phone (360) 734-5400.

Contact Information

Primary practice address
2901 Squalicum Pkwy Bellingham WA 98225-1851
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 41789 Washington

Profile Details

NPI number 1518962505
LBN Legal business name Kienzle, Gregery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518962505 NPPES
Washington MEDICAID 8296733

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