IndividualActive
Jonathan Kalisvaart, MD
NPI 1013196864 · Pediatric Urology Physician · Spokane, WA
Provider details
- NPI number
- 1013196864
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A93105 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
101 W 8th Ave
Suite 100
Spokane, WA 99204-2307
Phone: (509) 624-3126
Fax: (509) 227-7070
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 421
Liberty Lake, WA 99019-0421
Registry dates
- Enumerated
- 2007-10-29
- Last updated
- 2023-03-07
- Certified
- 2021-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.