IndividualActive
Kevin Joseph, DO
NPI 1417066556 · Neurology with Special Qualifications in Child Neurology Physician · Renton, WA
Provider details
- NPI number
- 1417066556
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OP60146312 (WA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense OP60146312 (WA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
400 S 43rd St
Renton, WA 98055-5714
Phone: (425) 656-5566
Fax: (425) 656-5567
Approximate (ZIP-level) locationGet directions
Mailing address
3600 Lind Ave Sw
Renton, WA 98057-4970
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.