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SUKANYA KANTHAWATANA MD

Allergy and Immunology

Olympia, Washington

Provider NPI: 1447250741

Provider Information:
 SUKANYA  KANTHAWATANA MD


Practice Location:
703 LILLY RD NE SUITE 103 OLYMPIA, WA 98506 US
Tel: 360-413-8760  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
WAMD00037188

Other Provider Identifiers:

IssuerNumberStateType
8240210WA05
MEDICAREGAB20352WA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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