Individual
KENNETH R KOSKELLA
Active
Individual
KENNETH R KOSKELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00038111
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199376
LABOR AND INDUSTRIES
WA
05
—
1115062
—
WA
01
—
P00267733
RAILROAD MEDICARE
WA
Enumeration date
02/08/2006
Last updated
12/13/2007
Update your record
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