Kenneth R. Koskella, MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

00038111 Issued in WA

Legal business name

KENNETH R. KOSKELLA, MD, INC

Practice address

2600 Wheaton Way
#304
Bremerton, WA 98310-3319

Phone

(360) 479-2003

Fax

(360) 479-7416

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Vicki B Splinter

Title

Office Manager

Phone

(360) 479-2544

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory P Duff, M.D.

  • Orthopaedic Surgery Physician
  • Silverdale, WA
  • NPI 1952374290
  NPD (past)
• Kenneth R Koskella, M.D.

  • Orthopaedic Surgery Physician
  • Silverdale, WA
  • NPI 1164495495
  NPD (past)
• James A Stewart, P.A.

  • Physician Assistant
  • Silverdale, WA
  • NPI 1538211446
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609961259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CHERRY AVENUE",
            "address_2": "SUITE 304",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104202",
            "telephone_number": "360-479-2544",
            "fax_number": "360-479-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WHEATON WAY",
            "address_2": "#304",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103319",
            "telephone_number": "360-479-2003",
            "fax_number": "360-479-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R. KOSKELLA, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPLINTER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-479-2544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "00038111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kelly
• Jonathon Luther Kelly, IDC
• Sandra L Kelly, RDH
• Tracy Kendrick
• Kathryn Kennedy, DO
• Christopher Kerr, DDS
• Destiny Kerr
• Adam B. Kershaw, MPT, OCS
• Kim Ann Kessell
• Daelie Keuter

• Specialist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.