Kelvin K Ma Md Inc Ps | |
201 15th Ave Sw Ste D Puyallup WA 98371-0226 | |
(253) 840-0406 | |
(253) 840-3352 |
Full Name | Kelvin K Ma Md Inc Ps |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 201 15th Ave Sw, Puyallup, Washington |
Authorized Official Name and Position | Kelvin K Ma (PRESIDENT) |
Authorized Official Contact | 2538400406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kelvin K Ma Md Inc Ps Po Box 1148 201 15th Ave Sw Ste D Puyallup WA 98371-0226 Ph: (253) 840-0406 | Kelvin K Ma Md Inc Ps 201 15th Ave Sw Ste D Puyallup WA 98371-0226 Ph: (253) 840-0406 |
NPI Number | 1699878082 |
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Provider Enumeration Date | 09/07/2006 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699878082 | NPI | - | NPPES |
0067266 | Other | WA | L & I |
1302264 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (Washington) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | MD00022157 (Washington) | Primary |
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