Individual
KRIS V KOWDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3216 NE 45TH PL STE 212, SEATTLE, WA 98105-4028
(206) 536-3030
(206) 524-0749
Mailing address
SWEDISH MEDICAL CENTER 1124 COLUMBIA ST STE 600, SEATTLE, WA 98104-2046
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00030891
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2964
INTERNAL ID-MOTOR VEHICLE ID
—
01
—
5475KO
BLUE SHIELD VM
WA
05
—
8149411
—
WA
01
—
US7218017
AETNA PCP PIN VM
WA
Enumeration date
10/27/2006
Last updated
06/08/2020
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