Healthcare Provider Details

I. General information

NPI: 1811497100
Provider Name (Legal Business Name): LIN KOWITZ AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 02/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13935 103RD AVE NE
KIRKLAND WA
98034-5220
US

IV. Provider business mailing address

13935 103RD AVE NE
KIRKLAND WA
98034-5220
US

V. Phone/Fax

Practice location:
  • Phone: 425-499-0268
  • Fax:
Mailing address:
  • Phone: 425-499-0268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: