Koskella, Kenneth R

Koskella, Kenneth R is an individual health care provider with primary practice located at 4409 Nw Anderson Hill Rd , Silverdale WA 98383-6807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Koskella, Kenneth R can be contacted via phone (360) 698-6630.

Contact Information

Primary practice address
4409 Nw Anderson Hill Rd Silverdale WA 98383-6807
Phone: (360) 698-6630
Fax: (360) 698-7002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00038111 Washington

Profile Details

NPI number 1164495495
LBN Legal business name Koskella, Kenneth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Dec 13th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164495495 NPPES
Washington MEDICAID 1115062
Washington Other 0199376
Washington Other P00267733

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