Individual
CALLAN L KOSNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10025 NE 186TH ST, BOTHELL, WA 98011-3839
(425) 486-9131
(425) 486-9490
Mailing address
PO BOX 646, BOTHELL, WA 98041-0646
(425) 485-3955
(425) 485-1476
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60051187
WA
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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