Individual
EDWARD HENRY KOSNOSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10002 SE 240TH ST, KENT, WA 98031-4839
(253) 852-2020
(253) 854-2020
Mailing address
PO BOX 6609, KENT, WA 98064-6609
(253) 852-2020
(253) 854-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0879
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027373
—
WA
01
—
26984
LABOR & INDUSTRIES
WA
01
—
K00125
REGENCE
WA
Enumeration date
07/15/2005
Last updated
07/08/2007
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