Individual
JOSHUA H KACHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27203 216TH AVE SE STE D, MAPLE VALLEY, WA 98038
(425) 656-4100
(425) 656-4109
Mailing address
3600 LIND AVE SW, SUITE 100 - ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60338126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0310505
DEPT OF L&I
WA
05
—
2027736
—
WA
01
—
G8984581
MEDICARE
VA
Enumeration date
07/21/2010
Last updated
03/28/2019
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