Gary Kelsberg in Renton - Family Medicine

Gary Kelsberg - NPI 1790707362

Gary Kelsberg is a Family Medicine in Renton, Washington. Gary Kelsberg practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary Kelsberg is 1790707362. The last update date is 2020-03-10.

Gary Kelsberg's current location address is 3600 Lind Ave Sw, Renton, Washington. You can contact this provider via phone number 4256902715. The mailing address for Gary Kelsberg is 3600 Lind Ave Sw, Renton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Kelsberg
Address 3600 Lind Ave Sw, Renton, Washington
Phone Number 4256902715
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790707362
Provider Enumeration Date 2006-07-24
Last Updated Date 2020-03-10

Provider Mailing Address Detail

Address 3600 Lind Ave Sw
City Renton
State Washington (WA)
Post Code 98057
Phone Number 4256902715
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD00020020
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8552408 WA --
1018969 WA --
G8891876 WA MEDICARE W VALLEY MEDICAL GROU

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FAQs about Gary Kelsberg

What is the unique 10-digit identification code assigned to Gary Kelsberg by the Centers for Medicare & Medicaid Services?

The Gary Kelsberg has been issued the NPI (National Provider Identifier) 1790707362, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Gary Kelsberg is physically located?

The Gary Kelsberg is physically situated at the following address: 3600 Lind Ave Sw, Renton, WA, 98057.

What is Gary Kelsberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gary Kelsberg is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Gary Kelsberg receive its 1790707362 assignment from the Centers for Medicare & Medicaid Services?

The Gary Kelsberg was assigned its 1790707362 by the Centers for Medicare & Medicaid Services on 2006-07-24.

When was the information related to Gary Kelsberg most recently updated or refreshed?

The details pertaining to the Gary Kelsberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-03-10.

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