Alan Dewitt Ken Kelley in Lynnwood - Family Medicine
Alan Dewitt Ken Kelley - NPI 1558343087
Alan Dewitt Ken Kelley is a Family Medicine in Lynnwood, Washington. Alan Dewitt Ken Kelley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Alan Dewitt Ken Kelley is 1558343087. The last update date is 2021-04-22.
Alan Dewitt Ken Kelley's current location address is 20200 54th Ave W, Lynnwood, Washington. You can contact this provider via phone number 4256726400. The mailing address for Alan Dewitt Ken Kelley is 20200 54th Ave W, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan Dewitt Ken Kelley |
|---|---|
| Address | 20200 54th Ave W, Lynnwood, Washington |
| Phone Number | 4256726400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558343087 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2021-04-22 |
Provider Mailing Address Detail
| Address | 20200 54th Ave W |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980366318 |
| Phone Number | 4256726400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00023665 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80076957 | WA | MEDICARE RAILROAD | |
| KE9116 | WA | BLUE SHIELD | |
| 104490 | WA | LABOR & INDUSTRIES | |
| 1016815 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Alan Dewitt Ken Kelley?
The Alan Dewitt Ken Kelley has been issued the NPI (National Provider Identifier) 1558343087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Alan Dewitt Ken Kelley's facilities are situated?
The facilities of Alan Dewitt Ken Kelley are physically located at the following address: 20200 54Th Ave W, Lynnwood, WA, 980366318.
What is Alan Dewitt Ken Kelley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Alan Dewitt Ken Kelley is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558343087 to Alan Dewitt Ken Kelley?
The Centers for Medicare & Medicaid Services originally issued the 1558343087 to Alan Dewitt Ken Kelley on 2005-11-18.
As of what date were the Alan Dewitt Ken Kelley's details last updated?
The information pertaining to the Alan Dewitt Ken Kelley, including its address, specialty, and other details, was most recently updated on 2021-04-22.