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Dr. Jonathan Frank Kalisvaart, MD
Pediatric Urology Physician in Spokane, Washington
NPI 1013196864

Jonathan Frank Kalisvaart is a Pediatric Urology Physician based in Liberty Lake, WA and is specialized in Pediatric Urology. Jonathan Frank Kalisvaart practices in Spokane, WA and has the professional credentials of MD. The NPI Number for Jonathan Frank Kalisvaart is 1013196864 and holds a License No. A93105 (Washington).

The current practice location address for Jonathan Frank Kalisvaart is 101 W 8Th Ave, Spokane, WA and can be reached out via phone at 509-624-3126 and via fax at 509-227-7070. You can also correspond with Jonathan Frank Kalisvaart through the mailing address at PO BOX 421, LIBERTY LAKE, WA - 99019-0421 (mailing address contact number: 866-747-2455).

Location: 101 W 8Th Ave, Spokane, WA, 99019-0421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013196864
Provider Name
Jonathan Frank Kalisvaart
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 W 8Th Ave, Spokane, WA, 99019-0421
Phone Number
509-624-3126
Fax Number
509-227-7070
Provider Enumeration Date
10/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
127902334A 05 WA
institution
Provider Business Practice Location Address Details
Address
101 W 8Th Ave
City
Spokane
State
Washington
Zip
99204-2307
Phone Number
509-624-3126
Fax Number
509-227-7070
person
Provider Business Mailing Address Details
Address
Po Box 421
City
Liberty Lake
State
Washington
Zip
99019-0421
Phone Number
866-747-2455
Fax Number
509-227-7070
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
062232 (Georgia)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
Pediatric Urology
Taxonomy
2088P0231X
License No.
A93105 (California)
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
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