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Kevin Dooms Md Pllc
Medical Specialty Clinic/Center in Issaquah, Washington
NPI 1174800593

Kevin Dooms Md Pllc is a Medical Specialty Clinic/Center based in Seattle, WA and is specialized in Medical Specialty. Kevin Dooms Md Pllc practices in Issaquah, WA. The NPI Number for Kevin Dooms Md Pllc is 1174800593 and holds a License No. 603-140-833 (Washington).

The current practice location address for Kevin Dooms Md Pllc is 751 Ne Blakely Dr, Issaquah, WA and can be reached out via phone at 206-223-9322 and via fax at 425-455-8391.

Location: 751 Ne Blakely Dr, Issaquah, WA, 98104-3595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174800593
Provider Name
Kevin Dooms Md Pllc
Credential
Provider Entity Type
Organization
Address
751 Ne Blakely Dr, Issaquah, WA, 98104-3595
Phone Number
206-223-9322
Fax Number
425-455-8391
Provider Enumeration Date
11/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548226285 01 WA TYPE-1 NPI
institution
Provider Business Practice Location Address Details
Address
751 Ne Blakely Dr
City
Issaquah
State
Washington
Zip
98029-6201
Phone Number
206-223-9322
Fax Number
425-455-8391
person
Provider Business Mailing Address Details
Address
751 Ne Blakely Dr
City
Issaquah
State
Washington
Zip
98029-6201
Phone Number
206-223-9322
Fax Number
425-455-8391
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
603-140-833 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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