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NPI Code Detail

MEDICARE: KELSEY SHOLUND MD

MEDICARE: KELSEY SHOLUND 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
1207Q00000XFamily Medicine PhysicianMD60964080WA

General Provider Information

NPI Number : 1992237002
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY SHOLUND MD
Provider Business Mailing Address
First Line : 8609 EVERGREEN WAY
Second Line :
City : EVERETT
State : WA
Zip : 98208-2619
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23320 HIGHWAY 99
Second Line :
City : EDMONDS
State : WA
Zip : 98026-8744
Country : US
Telephone Number : 425-789-3789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 06/03/2026

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Directions to “ KELSEY SHOLUND MD” Practice Location

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