Search › Washington › 106S00000X
Kevin Stordahl
NPI 1588264022 · on the registry since 2020
Practice
- Address
- 7650 Se 27th St Unit 541
Mercer Island, WA 98040 - Phone
- (425) 246-7038
- Fax
- (206) 420-3114
- Organisation at this address
- Bcld Llc
Liberty Dialysis - Tulsa Llc
Liberty Dialysis - Denver Llc
Liberty Dialysis - Denver Llc
Liberty Dialysis - Denver LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington