Provider Demographics
NPI:1861982183
Name:KINNUNEN, JULIA WARD
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:WARD
Last Name:KINNUNEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17911 10TH AVE NE UNIT B
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-3708
Mailing Address - Country:US
Mailing Address - Phone:360-722-0721
Mailing Address - Fax:
Practice Address - Street 1:17911 10TH AVE NE UNIT B
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-3708
Practice Address - Country:US
Practice Address - Phone:360-722-0721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula