| Kinwell Medical Group | |
|
224 Westlake Ave N Ste 100 Seattle WA 98109-5260 | |
| (206) 690-5962 | |
| Not Available |
| Full Name | Kinwell Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 224 Westlake Ave N Ste 100, Seattle, Washington |
| Authorized Official Name and Position | Maria A. Wise (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2066905962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinwell Medical Group 224 Westlake Ave N Ste 100 Seattle WA 98109-5260 Ph: (206) 690-5962 | Kinwell Medical Group 224 Westlake Ave N Ste 100 Seattle WA 98109-5260 Ph: (206) 690-5962 |
| NPI Number | 1487317954 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 6608260534 |
|---|---|
| Medicare Enrollment ID | O20220218001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487317954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Hillary B Allen Kissick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851392765 PECOS PAC ID: 0446146088 Enrollment ID: I20040223000405 |
| Provider Name | Maria A Wise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598836504 PECOS PAC ID: 1254316938 Enrollment ID: I20040618000959 |
| Provider Name | David A Becerril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902806771 PECOS PAC ID: 3971490913 Enrollment ID: I20040708000250 |
| Provider Name | Elisa K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184799074 PECOS PAC ID: 1355302175 Enrollment ID: I20041025000346 |
| Provider Name | Miranda M Raiche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275560781 PECOS PAC ID: 0244202075 Enrollment ID: I20060814000403 |
| Provider Name | Mark A Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154361335 PECOS PAC ID: 6305759168 Enrollment ID: I20080117000269 |
| Provider Name | Kristina K Swiggum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225122591 PECOS PAC ID: 9931208212 Enrollment ID: I20090817000472 |
| Provider Name | Monina F Daguio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104023894 PECOS PAC ID: 6204981103 Enrollment ID: I20090828000179 |
| Provider Name | Rowena Lily Bel P Reyrao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376566794 PECOS PAC ID: 5991834475 Enrollment ID: I20100520000868 |
| Provider Name | Yongmoon A Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154334670 PECOS PAC ID: 3375526957 Enrollment ID: I20110425000579 |
| Provider Name | Sarah L Crow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548556889 PECOS PAC ID: 1254557853 Enrollment ID: I20140716001646 |
| Provider Name | Francine M Martis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144518218 PECOS PAC ID: 5395962054 Enrollment ID: I20140804002611 |
| Provider Name | Deeanna K Maughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316207707 PECOS PAC ID: 0648411850 Enrollment ID: I20151014000355 |
| Provider Name | Joshua P Cutler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104121771 PECOS PAC ID: 0345537130 Enrollment ID: I20160921002935 |
| Provider Name | Marianne F Kartchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205108354 PECOS PAC ID: 8820392806 Enrollment ID: I20180525001393 |
| Provider Name | Angel Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629552518 PECOS PAC ID: 0143565077 Enrollment ID: I20181221001199 |
| Provider Name | Shivani Kwatra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639606924 PECOS PAC ID: 0345668141 Enrollment ID: I20220616000832 |
| Provider Name | Christine Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306397195 PECOS PAC ID: 6507140456 Enrollment ID: I20220616002185 |
| Provider Name | Kathleen M Tonti Horne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902829245 PECOS PAC ID: 3476535626 Enrollment ID: I20220812000778 |
| Provider Name | Miguel T Nunez Burgos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811328396 PECOS PAC ID: 9739305095 Enrollment ID: I20220812001949 |
| Provider Name | Cherese R Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275631244 PECOS PAC ID: 0941229074 Enrollment ID: I20220901001208 |
| Provider Name | Michele M Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932320843 PECOS PAC ID: 4183850571 Enrollment ID: I20220907003811 |
| Provider Name | Pamela E Schultz-torosian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477084192 PECOS PAC ID: 2860877438 Enrollment ID: I20220917000529 |
| Provider Name | Adhitya Venkataswamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275024119 PECOS PAC ID: 2062769938 Enrollment ID: I20220926003225 |
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