Buchanan, Kelly Mark

Buchanan, Kelly Mark is an sole proprietor health care provider with primary practice located at 500 S 336Th St , Federal Way WA 98003-6389. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Other Service Providers / Specialist is his primary health care specialty. Buchanan, Kelly Mark can be contacted via phone (253) 312-2217.

Contact Information

Primary practice address
500 S 336Th St Federal Way WA 98003-6389
Phone: (253) 312-2217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA00015776 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00015776 Washington

Profile Details

NPI number 1083761423
LBN Legal business name Buchanan, Kelly Mark
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jul 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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