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NPI Code Detail

MEDICARE: KEVIN DAVID RODAS GALINDO PMHNP

MEDICARE:   KEVIN DAVID RODAS GALINDO  PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61194159WA

General Provider Information

NPI Number : 1730663246
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN DAVID RODAS GALINDO PMHNP
Provider Business Mailing Address
First Line : 9311 SE 36TH ST STE 120
Second Line :
City : MERCER ISLAND
State : WA
Zip : 98040-3741
Country : US
Telephone Number : 206-312-5373
Fax Number :
Provider Business Practice Location Address
First Line : 9311 SE 36TH ST STE 120
Second Line :
City : MERCER ISLAND
State : WA
Zip : 98040-3741
Country : US
Telephone Number : 206-312-5373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2018
Last Update Date : 04/14/2025

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Directions to “ KEVIN DAVID RODAS GALINDO PMHNP” Practice Location

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