NPI 1013196864

Jonathan Frank Kalisvaart, MD

Practitioner Pediatric Urology Physician Spokane, WA

Practice location

Address: 101 W 8th Ave Suite 100, Spokane, WA 99204-2307
Phone: (509) 624-3126
Fax: (509) 227-7070
Mailing address: PO Box 421, Liberty Lake, WA 99019-0421

Registered specialties (3)

Pediatric Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X Licence MD 60207055 (WA)

Other Urology providers in Washington →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence A93105 (CA)

Pediatric Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X Licence 062232 (GA)

Registry record

NPI: 1013196864
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2007
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.