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MB2K LLC NPI 1821276759


NPI Information

NPI: 1821276759
Provider Name: MB2K, LLC

Doing Business As: FAMILYCARE OF KENT

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 50D0971367

Address:
10024 SE 240TH ST
SUITE 201
KENT, WA
ZIP 98031
Phone: (253) 859-2273
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MB2K, LLC is a primary care clinic center in Kent, WA. MB2K, LLC NPI is 1821276759. The provider is registered as an organization entity type.
The provider Is Doing Business As Familycare Of Kent.

The provider's business location address is:

10024 SE 240TH ST
SUITE 201
KENT, WA
ZIP 98031-124
Phone: (253) 859-2273
Fax: (253) 850-8894

The provider's authorized official is Madeline D Wiley .
The authorized official title is Owner/manager and has the following contact phone number (253) 859-2273.

The CLIA number assigned to this NPI record is 50D0971367 - other - np with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/1/2008 and was last updated on 7/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareAP30001318WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19626888MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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