Individual
MR. JOSEPH WINTER KOTNOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 426-6341
(253) 426-6344
Mailing address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60969088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138465
—
WA
Enumeration date
01/22/2018
Last updated
04/26/2021
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