MEDICARE: KENT KARSCHNIK D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	CH00003302	WA

General Provider Information

NPI Number	:	1043317696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENT KARSCHNIK D.C.

Provider Business Mailing Address
First Line	:	1100 19TH AVE E
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-3505
Country	:	US
Telephone Number	:	206-322-4395
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 19TH AVE E
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-3505
Country	:	US
Telephone Number	:	206-322-4395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	07/08/2007

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Directions to “ KENT KARSCHNIK D.C.” Practice Location

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