Provider Demographics
NPI:1497863773
Name:IHNKEN, KAI A (MD)
Entity Type:Individual
Prefix:
First Name:KAI
Middle Name:A
Last Name:IHNKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 W 7TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2301
Mailing Address - Country:US
Mailing Address - Phone:509-462-6485
Mailing Address - Fax:509-462-5059
Practice Address - Street 1:122 W 7TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2301
Practice Address - Country:US
Practice Address - Phone:509-462-6485
Practice Address - Fax:509-462-5059
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66563208G00000X
VA0101248648208G00000X
WAMD60608427208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8947558Medicare PIN