Individual
KEVIN DONALD EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
2222 N MONROE ST, SPOKANE, WA 99205-4545
(509) 413-2950
Mailing address
2222 N MONROE ST, SPOKANE, WA 99205-4545
(509) 413-2950
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61078770
WA
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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