Individual
DR. MARK A KOHMETSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 215-2520
(206) 386-3180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00037301
WA
208M00000X
Hospitalist Physician
Primary
MD00037301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196692
LABOR AND INDUSTRIES
WA
05
—
1972666824
—
WA
Enumeration date
12/19/2006
Last updated
09/26/2023
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