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NPI Code Detail

MEDICARE: KELLY DAUS

MEDICARE: KELLY DAUS
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
1208600000XSurgery PhysicianMD70018956WA

General Provider Information

NPI Number : 1962089771
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY DAUS
Provider Business Mailing Address
First Line : 747 BROADWAY HEATH BUILDING, 10TH FLOOR
Second Line :
City : SEATTLE
State : WA
Zip : 98122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 747 BROADWAY
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4379
Country : US
Telephone Number : 206-836-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2021
Last Update Date : 06/09/2026

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Directions to “ KELLY DAUS ” Practice Location

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