Doctor Name: | DR. KRYSTYNA IZABELLA PILECKI |
NPI Number: | 1033191531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD00023585 |
Business Practice Address: | 8301 161st Ave Ne Suite 105 Redmond, WA - 980523858 |
Business Phone Number: | 4258833333 |
Business Fax Number: | 4258694854 |
Mailing Address: | Po Box 34036, SEATTLE |
State: | WA |
Postal Code: | 981241036 |
Phone Number: | 4258993292 |
Fax Number: | 4258993269 |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 02/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD00023585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |