| Kala Clinic | |
|
32 Kala Square Pl Port Townsend WA 98368-9804 | |
| (360) 344-8166 | |
| (360) 379-6518 |
| Full Name | Kala Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 32 Kala Square Pl, Port Townsend, Washington |
| Authorized Official Name and Position | Debbie Fountain (CLINIC OPERATIONS MANAGER) |
| Authorized Official Contact | 3603448166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kala Clinic 32 Kala Square Pl Port Townsend WA 98368-9804 Ph: (360) 344-8166 | Kala Clinic 32 Kala Square Pl Port Townsend WA 98368-9804 Ph: (360) 344-8166 |
| NPI Number | 1669918876 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669918876 | NPI | - | NPPES |
| 2045741 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Washington) | Primary |
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