| Dr Christopher R Kinsella Jr, MD | |
|
4033 Talbot Rd S Ste 530, Renton, WA 98055-5700 | |
| (425) 690-3433 | |
| (425) 690-9433 |
| Full Name | Dr Christopher R Kinsella Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4033 Talbot Rd S Ste 530, Renton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114212792 | NPI | - | NPPES |
| 1114212792 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD61105409 (Washington) | Primary |
| Entity Name | Valley Medical Group-renton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher R Kinsella Jr, MD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476 | Dr Christopher R Kinsella Jr, MD 4033 Talbot Rd S Ste 530, Renton, WA 98055-5700 Ph: (425) 690-3433 |
Chad Michael Bailey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 17930 Talbot Rd S, Renton, WA 98055 Phone: 425-228-3187 Fax: 425-228-7972 | |
Thomas Benjamin Crown, DO Surgery Medicare: May Accept Medicare Assignments Practice Location: 4033 Talbot Rd S Ste 530, Renton, WA 98055 Phone: 425-690-3433 Fax: 425-690-9433 | |
Nicole Kansier Zern, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd S Ste 530, Renton, WA 98055 Phone: 425-690-3433 Fax: 425-690-3433 | |
Dr. Gweniviere Capron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd S Ste 530, Renton, WA 98055 Phone: 425-690-1000 | |
Rebecca Stickler, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4033 Talbot Rd S Ste 530, Renton, WA 98055 Phone: 425-228-6076 Fax: 425-226-5224 | |
Jeffrey L. Stone, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4011 Talbot Rd S, Renton, WA 98055 Phone: 425-228-6076 Fax: 425-226-5224 |