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Centennial Pediatrics of Spokane, Pllc

Pediatrics Physician in Spokane, WA · enumerated 2022 · authorized official Jennifer Kalisvaart, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346964806

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Registry record

Entity type Organization (Type 2)
Legal business name Centennial Pediatrics of Spokane, Pllc
Practice address 3010 S Southeast Blvd Ste A, Spokane, WA, 99223
Phone (509) 352-3777
Fax (509) 343-3717
Enumeration date Sep 28, 2022
Last updated in NPPES Jul 21, 2023

Taxonomy & classification

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Kalisvaart
Title Owner
Phone (562) 277-0834

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Centennial Pediatrics of Spokane, Pllc located?
The practice location on file with NPPES is in Spokane, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-07-21. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-21.