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Individual
DR. KELVIN G. MAR
Active
Individual
DR. KELVIN G. MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44378
WA
207P00000X
Emergency Medicine Physician
A76815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A768150
BLUE SHIELD
CA
05
—
00A768150
—
CA
01
—
A76815
BLUE CROSS
CA
Enumeration date
06/22/2006
Last updated
05/03/2024
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