Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kitsap Colorectal Surgery Inc Ps

Organization Surgery Physician · NPI 1245566348

Kitsap Colorectal Surgery Inc Ps is a Surgery Physician in Bremerton, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2528 Wheaton Way Ste 103
Bremerton, WA 98310-3305
Phone: (360) 377-4717
Fax: (360) 377-4134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35113 (WA)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 35113 (WA)

Record details

NPI number1245566348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnny Green — President · (360) 377-4717
NPI enumeratedOctober 23, 2009
Last updated in NPPESOctober 23, 2009
Mailing address2528 Wheaton Way, Suite 103, Bremerton, WA 98310-3305

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