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General NPI Number Information
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NPI Number | 1699850404
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Entity Type | Individual
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Provider Name | KRIS V KOWDLEY MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 3216 NE 45TH PL STE 212
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City | SEATTLE
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State | WA
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Zip | 98105-4028
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Country | US
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Telephone | 206-536-3030
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Fax | 206-524-0749
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Provider Business Mailing Address
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Address Line | SWEDISH MEDICAL CENTER 1124 COLUMBIA ST STE 600
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City | SEATTLE
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State | WA
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Zip | 98104-2046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD00030891
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License Number State | WA
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