Individual
MR. TODD P KREPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
510 8TH AVE NE STE 200, ISSAQUAH, WA 98029-5436
(425) 392-3030
(425) 392-2564
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 455-3600
(425) 455-3920
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10005087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022455
—
WA
Enumeration date
10/13/2006
Last updated
02/23/2023
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