Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CH00003302 | WA |
NPI | 1043317696 |
---|---|
Provider Name | Kent Karschnik |
First Address | Seattle, WA 98112-3505 |
Second Address | Seattle, WA 98112-3505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 08/07/2007 |