Kenneth Wayne Kooser
PROVIDENCE HEALTH AND SERVICES WASHINGTON


Address: 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Phone: 3067543380

Kenneth Wayne Kooser (NPI# 1306920772, PAC ID# 1355533076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1306920772
PAC ID by PECOS 1355533076
Professional Enrollment ID I20130604000722
Full Name Kenneth Wayne Kooser
Organization Legal Name PROVIDENCE HEALTH AND SERVICES WASHINGTON
Address 1620 Cooper Point Swrd
Olympia
WA 98506-5736
Phone Number 3067543380
Gender M
Medical School UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 1999
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 6709782600
Number of Group Practice Members 315
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500024 PROVIDENCE ST PETER HOSPITAL
500019 PROVIDENCE CENTRALIA HOSPITAL

Other Locations

Address Phone Organization
1620 Cooper Point Swrd, Olympia, WA 98506-5736 3067543380 PROVIDENCE HEALTH AND SERVICES WASHINGTON

Organization Information

Organization Legal Name PROVIDENCE HEALTH AND SERVICES WASHINGTON
Physicians 1132

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Alexander Lee Telis Orthopedic Surgery Providence Health and Services Washington 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450
Jodi Ann Fischer Nurse Practitioner Providence Health and Services Washington 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908
Katherine Elizabeth Reynolds Nurse Practitioner Providence Health and Services Washington 1212 N Pines Rd, Spokane Valley, WA 99206-4939
Eugene Daniel Villacian Nurse Practitioner Providence Health and Services Washington 3333 Ensign Rd Ne, Olympia, WA 98506-5012
Shira Y Albert Nurse Practitioner Providence Health and Services Washington 12312 E Sprague Ave, Spokane Valley, WA 99216-0720
Lisa Tisch Nurse Practitioner Providence Health and Services Washington 551 E Hawthorne Rd, Spokane, WA 99218-1417
Natalie S Angus Family Medicine Providence Health and Services Washington 931 S Market Blvd, Chehalis, WA 98532-3423
Tabatha Schellenger Nurse Practitioner Providence Health and Services Washington 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683
Callie Rose Adams Nurse Practitioner Providence Health and Services Washington 212 E Central Ave, Suite 240, Spokane, WA 99208-6597

Office Location

Street Address 1620 COOPER POINT SWRD
City OLYMPIA
State WA
Zip 98506-5736

Physicians in the same location

Name Specialty Organization Address
Penelope A Goode Emergency Medicine Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Terra J Grandmason Nurse Practitioner Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Andrew P Patel Family Medicine Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Justin Daniel Wheeler Family Medicine Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Molly A Mellon Nurse Practitioner Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Samantha H Lacanlale Nurse Practitioner Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Ravneet Jaura Family Medicine Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Laura M Yates Family Medicine Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Debra J Gross Nurse Practitioner Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Tracee J Karlson Physical Therapy Providence Health and Services Washington 1620 Cooper Point Swrd, Olympia, WA 98506-5736
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Andrew P Rosser Chiropractic 705 4th Ave E, Suite 102, Olympia, WA 98506-3929
Martha H Henderson Nurse Practitioner Molly Henderson Arnp Inc 1005 Olympia Neave, Olympia, WA 98506-4033
Molly J Staley Clinical Social Worker 1204 4th Ave E Stuite, 1 Marriage and Family Therapy Associates LLC, Olympia, WA 98506-4276
Joseph D Byus Chiropractic 1709 State Ave Ne, Olympia, WA 98506-4556
Roy C Evans Chiropractic 1709 State Ave Ne, Olympia, WA 98506-4556
Donald R Lathrop Jr. Chiropractic 1728 State Ave Ne, Capitol Chiropractic and Family Wellness, Olympia, WA 98506-4557
Rick A Calcara Chiropractic 1946 4th Ave E, Olympia, WA 98506-4632
Marjean Swartling Chiropractic 1920 State Ave Ne, Olympia, WA 98506-4652
Jerod Scott Stanley Podiatry Stanley and Utterback 2828 Martin Way E, Olympia, WA 98506-4946
Aaron K Utterback Podiatry Stanley and Utterback 2828 Martin Way E, Olympia, WA 98506-4946
Find all physicians in zip 98506

Competitor

Search similar physicians

City OLYMPIA
Zip Code 98506
Specialty FAMILY MEDICINE
City + Specialty OLYMPIA + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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