Individual
DR. CHRISTOPHER R KINSELLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4033 TALBOT RD S STE 530, RENTON, WA 98055-5700
(425) 690-3433
(425) 690-9433
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61105409
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114212792
—
WA
Enumeration date
06/13/2011
Last updated
03/10/2022
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