Organization
KENNETH R. KOSKELLA, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI B SPLINTER (OFFICE MANAGER)
(360) 479-2544
Entity
Organization
Contact information
Practice address
2600 WHEATON WAY, #304, BREMERTON, WA 98310-3319
(360) 479-2003
(360) 479-7416
Mailing address
2500 CHERRY AVENUE, SUITE 304, BREMERTON, WA 98310-4202
(360) 479-2544
(360) 479-7416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00038111
WA
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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