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NPI Code Detail

MEDICARE: DR. KATHRYN MCKENZIE TONDER MD

MEDICARE: DR. KATHRYN MCKENZIE TONDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD00044162WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942218185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN MCKENZIE TONDER MD
Provider Business Mailing Address
First Line : 1019 PACIFIC AVE STE 300
Second Line : ATTN: HR
City : TACOMA
State : WA
Zip : 98402-4488
Country : US
Telephone Number : 253-722-1540
Fax Number :
Provider Business Practice Location Address
First Line : 134 188TH ST S
Second Line :
City : SPANAWAY
State : WA
Zip : 98387-4618
Country : US
Telephone Number : 253-847-2304
Fax Number : 253-847-8857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 10/09/2020

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