NPI 1003313222

Devon Reese Kienzle, DO

Practitioner Family Medicine Physician Darrington, WA

Practice location

Address: 1190 Riddle St, Darrington, WA 98241-7722
Phone: (360) 436-1055
Fax: (360) 436-0146
Mailing address: 1400 E Kincaid St, Mount Vernon, WA 98274-4127

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OP61073204 (WA)

Other Family Medicine providers in Washington →

Registry record

NPI: 1003313222
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2018
Record last updated: 16 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.