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

Kevin Costa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932555315

Kevin Costa is a Family Practice in Spokane Valley, Washington. Qualified in 2016, 10 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

16528 E Desmet Ct Ste B3100
Spokane Valley, WA 99216-3522
Phone: (509) 944-9440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 — (478) 975-6880

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP60948380 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932555315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2016
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing address233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Spokane Valley