Individual
THEODORE K KRISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M3676
ID
208000000X
Pediatrics Physician
MD00040584
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171659
WA LABOR & INDUSTRIES
WA
05
—
1089838
—
WA
01
—
1396828158
REGENCE BLUESHIELD
ID
05
—
1396828158
—
ID
01
—
DF508
BLUE CROSS
ID
Enumeration date
10/23/2006
Last updated
03/08/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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