Active NPI
Kenneth H Krichman, MD
- Nephrology Physician
- Edmonds, WA
National Provider Identifier
1821022559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD00015693
- Practice address
- 7935 216TH St SW
# E
Edmonds, WA 98026-7941 - Phone
- (425) 778-6037
- Fax
- (425) 778-6106
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD00015693 | WA | Primary |
Addresses
Primary practice location
7935 216TH St SW
# E
Edmonds, WA 98026-7941
Mailing address
PO Box 3129
Lynnwood, WA 98046-3129
Phone (425) 778-6037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1585108 | Other | WA | DSHS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821022559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3129",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980463129",
"telephone_number": "425-778-6037",
"fax_number": "425-778-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7935 216TH ST SW",
"address_2": "# E",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267941",
"telephone_number": "425-778-6037",
"fax_number": "425-778-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRICHMAN",
"first_name": "KENNETH",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "MD00015693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "1585108",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.