KITSAP CHEST CONSULTANTS PLLC - NPI 1033130745

Q: What is Kitsap Chest Consultants PLLC's NPI number?

The NPI number for Kitsap Chest Consultants PLLC is 1033130745. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider was formerly known as Kitsap Critical Care, PLLC.

Q: What is Kitsap Chest Consultants PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Kitsap Chest Consultants Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KITSAP CHEST CONSULTANTS PLLC (NPI 1033130745), doing business as Kitsap Critical Care, Pllc, is a healthcare organization registered as a specialist in Bremerton, Washington and active in the NPI registry since July 2006. The organization lists Griffith Blackmon, Partner, as its authorized official.

NPPES Registry Identity

NPI1033130745

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameKITSAP CHEST CONSULTANTS PLLC

Location Address1225 CAMPBELL WAY STE 201Bremerton, WA 98310-3323

Mailing Address1225 Campbell Way Ste 201Bremerton, WA 98310-3323 · (360) 479-8057 · Fax (360) 479-0108

Phone(360) 479-8057

Fax(360) 479-0108

Organization SubpartNo

Authorized OfficialGriffith BlackmonPartner · (360) 479-8057

Enumeration DateJuly 21, 2006

Last NPPES UpdateDecember 15, 2010

✔ NPI 1033130745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · 602542295

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1225 CAMPBELL WAY STE 201, Bremerton, WA 98310

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Other Names 1

Former Legal Business NameKitsap Critical Care, Pllc

Other Identifiers 4

Medicare UPINF75056WA

Medicare PIN8864705

Medicare PIN8864708WA

Medicare UPINF54698WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWN ERIK TEDFORD PA-C

Physician Assistant