| Ck Therapeutics | |
|
140 S Arthur St Ste 415 Spokane WA 99202-2220 | |
| (509) 850-6926 | |
| (509) 533-0627 |
| Full Name | Ck Therapeutics |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 S Arthur St Ste 415, Spokane, Washington |
| Authorized Official Name and Position | Carol Lynn Kottwitz (ARNP) |
| Authorized Official Contact | 5098506926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ck Therapeutics 140 S Arthur St Ste 415 Spokane WA 99202-2220 Ph: (509) 850-6926 | Ck Therapeutics 140 S Arthur St Ste 415 Spokane WA 99202-2220 Ph: (509) 850-6926 |
| NPI Number | 1023475589 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 01/28/2016 |
| Medicare PECOS PAC ID | 3779889787 |
|---|---|
| Medicare Enrollment ID | O20160316001944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023475589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | AP30006039 (Washington) | Primary |
| Provider Name | Carol Kottwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992184857 PECOS PAC ID: 4688970692 Enrollment ID: I20160317002183 |
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