Individual
DR. JONATHAN FRANK KALISVAART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 W 8TH AVE, SUITE 100, SPOKANE, WA 99204-2307
(509) 624-3126
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A93105
CA
2088P0231X
Pediatric Urology Physician
062232
GA
2088P0231X
Pediatric Urology Physician
Primary
MD 60207055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127902334A
—
WA
Enumeration date
10/29/2007
Last updated
03/07/2023
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