DR. KELLY JOE KRIZAN MD NPI 1881656841

NPI Information

NPI: 1881656841
Provider Name: DR. KELLY JOE KRIZAN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3417 ENSIGN RD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 493-4600
Get Directions

DR. Kelly Joe Krizan, MD is a diagnostic radiology radiology in Olympia, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kelly Joe Krizan, MD NPI is 1881656841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3417 ENSIGN RD NE
OLYMPIA, WA
ZIP 98506-064
Phone: (360) 493-4600
Fax: (360) 493-4603

The enumeration date for this NPI number is 4/5/2006 and was last updated on 10/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD00024212	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8450025	MEDICAID	WASHINGTON
2	207097	MEDICAID	OREGON
3	G8859251	MEDICARE PIN	WASHINGTON
4	E71154	MEDICARE UPIN
5	5995KR	OTHER	WASHINGTON	REGENCE BLUE SHIELD
6	P00308712	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	RAILROAD MEDICARE
7	807397800	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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