Dr Kelley Jean Kadunc, MD | |
2901 174th St Ne, Marysville, WA 98271-4743 | |
(360) 454-1990 | |
(360) 454-1991 |
Full Name | Dr Kelley Jean Kadunc |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2901 174th St Ne, Marysville, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942694476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ML60561419 (Washington) | Secondary |
208000000X | Pediatrics | MD60843643 (Washington) | Primary |
Entity Name | Optum Care Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelley Jean Kadunc, MD Po Box 5127, Everett, WA 98206-5127 Ph: (360) 454-1990 | Dr Kelley Jean Kadunc, MD 2901 174th St Ne, Marysville, WA 98271-4743 Ph: (360) 454-1990 |
Dr. Sarah Eva Bergman Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 | |
Sophia Shiau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482 | |
Michael Su, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 Fax: 360-454-1991 | |
Denise Shushan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7482 Fax: 360-651-7482 | |
Minkyung Shin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482 | |
Cheryl Nirmali De Silva, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8923 Soper Hill Rd, Marysville, WA 98270 Phone: 425-397-1702 Fax: 425-397-1750 | |
Shirley Chen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482 |