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Individual

DR. JENNIFER L KALISVAART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
315 W 9TH AVE STE 200, SPOKANE, WA 99204-2501
(509) 960-8894
(509) 290-6820
Mailing address
315 W 9TH AVE STE 200, SPOKANE, WA 99204-2501
(509) 960-8894

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AFE93313
CA
208000000X
Pediatrics Physician
Primary
MD 60217890
WA

Other

Enumeration date
01/19/2007
Last updated
06/23/2021
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