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Individual

KEVIN L POLZIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
12360 NE 8TH ST, SUITE200, BELLEVUE, WA 98005-4801
(425) 999-9633
(888) 899-4360
Mailing address
12360 NE 8TH ST, SUITE 200, BELLEVUE, WA 98005-4801
(425) 999-9633
(888) 899-4360

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002711
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44814
STATE L & I
WA
01
P01400
BLUE CROSS
WA
Enumeration date
09/14/2005
Last updated
09/11/2015
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