Most Relevant Information
Provider Data
| NPI Number: | 1003313222 |
| Provider Name: | DEVON REESE KIENZLE DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | OP61073204 |
Most Important Dates
| Enumeration Date: | 04/13/2018 |
| Last Updated: | 09/16/2021 |
Provider Practice Location
1190 RIDDLE ST
DARRINGTON
WA
982417722
Practice Location Phone/Fax
| Phone: | 3604361055 |
| Fax: | 3604360146 |
Provider Mailing Location
1400 E KINCAID ST
MOUNT VERNON
WA
982744127
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR