Healthcare Provider Details

I. General information

NPI: 1942748827
Provider Name (Legal Business Name): KELBY ARDEN HEMPEL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2017
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1708 YAKIMA AVE STE 300
TACOMA WA
98405-5309
US

IV. Provider business mailing address

1708 YAKIMA AVE STE 300
TACOMA WA
98405-5309
US

V. Phone/Fax

Practice location:
  • Phone: 253-363-8700
  • Fax: 253-272-0419
Mailing address:
  • Phone: 253-363-8700
  • Fax: 253-272-0419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberOP61518262
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberOP61518262
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: