Blakely, Kent William

Blakely, Kent William is an individual health care provider with primary practice located at 1909 214Th St Se Ste 211 , Bothell WA 98021-4418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Blakely, Kent William can be contacted via phone (425) 248-2626.

Contact Information

Primary practice address
1909 214Th St Se Ste 211 Bothell WA 98021-4418
Phone: (425) 248-2626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G162755 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD60640236 Washington

Profile Details

NPI number 1134222458
LBN Legal business name Blakely, Kent William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134222458 NPPES
Washington Other MD60640236 STATE LICENSE

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