Kabosky, John H

Kabosky, John H is an individual health care provider with primary practice located at 401 S Main St , Deer Park WA 99006-8238. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Kabosky, John H can be contacted via phone (509) 444-8200.

Contact Information

Primary practice address
401 S Main St Deer Park WA 99006-8238
Phone: (509) 444-8200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60583458 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-02157 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60583458 Washington

Profile Details

NPI number 1427328731
LBN Legal business name Kabosky, John H
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2012
Last updated Nov 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427328731 NPPES
Washington Other 0351875 L&I
Washington MEDICAID 2047673 L&I

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