Most Relevant Information
Provider Data
  | NPI Number: | 1003354994 | 
| Provider Name: | KRYSPIN GIETKOWSKI H.I.S | 
| Entity Type: | Individual | 
| Taxonomy Code: | 237700000X | 
| Specialty: | Hearing Instrument Specialist | 
| License Number: | HA60655151 | 
Most Important Dates
  | Enumeration Date: | 02/10/2017 | 
| Last Updated: | 02/10/2017 | 
Provider Practice Location
  6413 FAUNTLEROY WAY SW
      
      SEATTLE
      WA
      98136
  Practice Location Phone/Fax
      | Phone: | 2069378700 | 
| Fax: | 2069352451 | 
Provider Mailing Location
  6413 FAUNTLEROY WAY SW
      
      SEATTLE
      WA
      98136
  Provider Mailing Phone/Fax
      | Phone: | 2069378700 | 
| Fax: | 2069352451 |