Individual
DR. KEVIN INNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 473-7100
Mailing address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 473-7100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60083073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720253172
—
MT
05
—
1720253172
—
WA
05
—
17202853172
—
ID
05
—
8543258
—
WA
Enumeration date
04/28/2008
Last updated
08/05/2010
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