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NPI Code Detail

MEDICARE: DR. KELVIN K MA MD

MEDICARE: DR. KELVIN K MA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD00022157WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20067266OTHERWALABOR & INDUSTRIES

General Provider Information

NPI Number : 1215115308
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELVIN K MA MD
Provider Business Mailing Address
First Line : 1117 36TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4429
Country : US
Telephone Number : 253-740-3710
Fax Number :
Provider Business Practice Location Address
First Line : 1117 36TH AVE E
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4429
Country : US
Telephone Number : 800-926-8273
Fax Number : 888-539-8781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2008
Last Update Date : 05/29/2026

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