Kyle L Colvin, MD – Diagnostic Radiology Physician

Key facts

NPI: 1902808363
Entity type: Individual (NPI type 1)
Primary specialty: Diagnostic Radiology Physician 2085R0202X
License: MD00041736 (WA)
Practice address: 400 E 5TH Ave
Spokane, WA 99202-1334
Phone: (509) 838-2531
NPI assigned: Aug 15, 2005
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Radia Inc P S Diagnostic Radiology Physician · Lynnwood, WA · NPI 1932196607

NPD (past) DIAGNOSTIC RADIOLOGY
Rockwood Clinic PS Internal Medicine Physician · Spokane, WA · NPI 1417953787

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Rockwood Clinic PS		Past	Accepting new patients
Radia Inc P S	Diagnostic Radiology	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Diagnostic Radiology Physician	2085R0202X	MD00041736	WA	Yes

Addresses

Primary practice location

400 E 5TH Ave
Spokane, WA 99202-1334

Mailing address

PO Box 3649
Spokane, WA 99220-3649
Phone (509) 838-2531

Other identifiers

Identifier	Type	State	Issuer
8326456	Medicaid	WA

Other providers in Spokane, WA

All providers in Spokane, WA · Diagnostic Radiology Physician in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.