Individual
LOUIS K KOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 S AUBURN STREET, KENNEWICK, WA 99336
(509) 586-6111
Mailing address
6810 W KENNEWICK AVENUE, SUITE C, KENNEWICK, WA 99336
(509) 737-1492
(509) 737-1494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP00000873
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8319501
—
WA
Enumeration date
10/04/2006
Last updated
07/09/2007
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