Healthcare Provider Details

I. General information

NPI: 1174961734
Provider Name (Legal Business Name): KYLE BENTON VARNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W 8TH AVE
SPOKANE WA
99204-2307
US

IV. Provider business mailing address

23403 E MISSION AVE STE 231
LIBERTY LAKE WA
99019-5087
US

V. Phone/Fax

Practice location:
  • Phone: 509-474-3260
  • Fax: 509-474-3245
Mailing address:
  • Phone: 509-367-4209
  • Fax: 509-492-5624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60629022
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD60629022
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: