Organization
KEVIN P. SCHOENFELDER, MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY P MULL (OFFICE MANAGER)
(253) 272-0186
Entity
Organization
Contact information
Practice address
1515 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3933
(253) 272-0186
(253) 272-2642
Mailing address
1515 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3933
(253) 272-0186
(253) 272-2642
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD00018830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005842
—
WA
01
—
88874
WORKERS COMP
WA
01
—
SC7664
REGENCE BLUE SHIELD
WA
Enumeration date
01/10/2007
Last updated
10/31/2007
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