Organization
KENT VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD H KOSNOSKI O.D. (OWNER)
(253) 852-2020
Entity
Organization
Contact information
Practice address
10002 SE 240TH ST, KENT, WA 98031-4839
(253) 852-2020
(253) 854-2020
Mailing address
PO BOX 6609, KENT, WA 98064-6609
(253) 852-2020
(253) 854-2020
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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