Kneller, Robert

Kneller, Robert is an individual health care provider with primary practice located at 17500 Se 392Nd St , Auburn WA 98092-9705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kneller, Robert can be contacted via phone (532) 294-8201.

Contact Information

Primary practice address
17500 Se 392Nd St Auburn WA 98092-9705
Phone: (532) 294-8201
Fax: (253) 333-3610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD61223274 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0032919 Maryland

Profile Details

NPI number 1063815496
LBN Legal business name Kneller, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2014
Last updated Apr 16th, 2025 - about last year

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 1063815496 NPPES
Washington MEDICAID 2216672

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