Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD60543753 | WA |
NPI | 1033352794 |
---|---|
Provider Name | Dr. Kevin Allen Ostrowski |
First Address | Kirkland, WA 98034-3013 |
Second Address | Kirkland, WA 98034-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2009 |
Last Update Date | 09/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033352794 | (05) | WA |