Provider Demographics
NPI:1255302972
Name:KOBALTER, KRIS FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:KRIS
Middle Name:FRANCIS
Last Name:KOBALTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3900 S ZINTEL WAY
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338
Mailing Address - Country:US
Mailing Address - Phone:509-942-3627
Mailing Address - Fax:509-942-2268
Practice Address - Street 1:945 GOETHALS DRIVE SUITE 200
Practice Address - Street 2:KADLEC CLINIC ASSOCIATED PHYSICIANS FOR WOMEN
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-942-3627
Practice Address - Fax:509-942-2340
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2021-06-16
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Provider Licenses
StateLicense IDTaxonomies
CAG69005207V00000X
WAMD60329790207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F63853Medicare UPIN
NV32118Medicare PIN
CA00G690050Medicare PIN