Individual
KEVIN REID JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5566
(425) 656-5567
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
OP60146312
WA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
OP60146312
WA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
OP60146312
WA
Other
Enumeration date
08/30/2006
Last updated
03/10/2020
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