SearchWashington101YM0800X

Stephen Kononovich

NPI 1710485818 · on the registry since 2018 · sole proprietor

Practice

Address
210 W Sprague Ave
Spokane, WA 99201
Phone
(509) 747-8224
Fax
(509) 747-0609
Organisation at this address
Lutheran Community Services Northwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address
122

Additional practice sites

  • 210 W Sprague Ave, Spokane, WA

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-17

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