Individual
MRS. KRISTA I KINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Mailing address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD60438099
WA
207W00000X
Ophthalmology Physician
Primary
MD60438099
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000357600
GROUP MEDICARE
WA
01
—
1730187899
GROUP MEDICAID
ID
01
—
1730187899
SPOKANE EYE CLINIC GROUP NPI
WA
Enumeration date
04/07/2009
Last updated
09/03/2014
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