DR. Kenneth Wayne Kooser, M.D.

NPI #1306920772 in Lacey, Washington

Provider Information

NPI Number: 1306920772
Entity Type: Individual
Name: DR. Kenneth Wayne Kooser, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Oct 24, 2006
Last Updated: Jun 16, 2021

Practice Location

Address: 4800 COLLEGE ST SE
City: Lacey
State: Washington
ZIP Code: 98503-4389
Phone: (360) 486-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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