Individual
DR. PHILLIP J KRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
27203 216TH AVE SE, SUITE 1, MAPLE VALLEY, WA 98038-3273
(425) 432-4621
(425) 432-6495
Mailing address
27203 216TH AVENUE SE, SUITE 1, MAPLE VALLEY, WA 98038-5510
(425) 432-4621
(425) 432-6495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001752
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062692
LABOR AND INDUSTRY
WA
Enumeration date
10/06/2006
Last updated
02/05/2009
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