Individual
BENT OLAV KJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 MADISON ST, SUITE 900, SEATTLE, WA 98104-3586
(206) 292-6233
(206) 292-7764
Mailing address
PO BOX 24147, SEATTLE, WA 98124-0147
(206) 292-6233
(206) 292-7764
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD00027580
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00027580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8119075
—
WA
Enumeration date
06/12/2006
Last updated
02/14/2008
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