Individual provider · Type 1 NPI
Callan L. Kosnik, PA
Medical Physician Assistant · Bothell, WA
NPI number
1861645129
Active
Practice location
10025 NE 186th St
Bothell, WA 98011-3839
Fax (425) 486-9490
Mailing address
PO Box 646
Bothell, WA 98041-0646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA60051187 (WA) |
Medical Physician Assistant: Definition to come...
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- Jamie Ham, DOFamily Medicine Physician Bothell, WA NPI 1811574122
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- Kelly P. Grenner, ARNP-FNPFamily Nurse Practitioner Bothell, WA NPI 1003424128
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Other medical physician assistant providers in Bothell
About NPI 1861645129
Callan L. Kosnik, PA's National Provider Identifier is 1861645129, issued on Oct 30, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bothell, WA. The record was last updated on Oct 30, 2008.