Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY MARK BUCHANAN, LMT
Active Sole ProprietorSpecialist · FEDERAL WAY, WA
Registration Details
- NPI Number
- 1083761423
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2007 (19.312376406698 yrs)
- Last Updated
- Jul 22, 2021
- Licenses
-
MA00015776 (WA)MA00015776 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 S 336TH STFEDERAL WAY, WA, 980036389Browse WA providers · Browse ZIP 98003
- Phone
- 2533122217
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Massage Therapist
Other Specialist Providers in FEDERAL WAY, WA
| Name | Credential | NPI |
|---|---|---|
| DR. TABASSUM SAEED | M.D., M.S. | 1699731364 |
| SUYANG LI | M.D. | 1811939945 |
| DR. PETER B SHELLEY | M.D. | 1093808891 |
| MRS. MICHELE JENNEFER PETERSON | L.M.P. | 1508924481 |
| MRS. LARA BURTON | LMP | 1669529319 |
| ELISABETH DANIELLE STIPP | LMP | 1255488912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.