Individual
EVA KOJNOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 MINOR AVE, SUITE 300, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00034799
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110166046
PALMETTO RR MEDICARE
WA
01
—
114745
LABOR & INDUSTRY
WA
01
—
5891740001
DME
WA
05
—
8208738
—
WA
01
—
KO5496
REGENCE
WA
01
—
MD7782W
ALASKA DSHS
WA
Enumeration date
09/30/2005
Last updated
10/07/2020
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