| Auburn Osteopathic Medical Clinic | |
|
820 Harvey Rd Ste E Auburn WA 98002-4247 | |
| (253) 939-1066 | |
| (253) 939-1069 |
| Full Name | Auburn Osteopathic Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 820 Harvey Rd, Auburn, Washington |
| Authorized Official Name and Position | Sheila Z Kennedy (PRESIDENT) |
| Authorized Official Contact | 2539391066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Osteopathic Medical Clinic 820 Harvey Rd Ste E Auburn WA 98002-4247 Ph: (253) 939-1066 | Auburn Osteopathic Medical Clinic 820 Harvey Rd Ste E Auburn WA 98002-4247 Ph: (253) 939-1066 |
| NPI Number | 1831362938 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2013 |
| Medicare PECOS PAC ID | 3375616444 |
|---|---|
| Medicare Enrollment ID | O20080723000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831362938 | NPI | - | NPPES |
| 193400000X | Other | WA | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00001065 (Washington) | Primary |
| Provider Name | Sheila Z Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083618409 PECOS PAC ID: 3678645728 Enrollment ID: I20080707000167 |
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