Kitsap Childrens Clinic LLP
Pediatrics in Port Orchard, WA. Organization (NPI-2).
NPI number1720175672
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1720175672
- Entity type
- Organization (NPI-2)
- Legal business name
- Kitsap Childrens Clinic LLP
- Organization subpart
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | WA | Yes |
Practice location
450 South Kitsap BlvdSuite 2300
Port Orchard, WA 98366
Phone 360-895-0216 · Fax 360-895-7919
Mailing address
9951 Mickelberry Rd NwSuite 101
Silverdale, WA 98383
Phone 360-692-9362 · Fax 360-692-6214
Authorized official
R Barnes Voegtlen
Medical Director
3606929362
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