Individual
MR. KEVIN R LAFAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
34519 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 838-9700
(253) 838-6418
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150556
LIWA
WA
01
—
0150557
LIWA
WA
01
—
1594LA
BSWA
WA
01
—
1913LA
BSWA
WA
01
—
2164NO
BSWA
WA
05
—
8348914
—
WA
Enumeration date
06/17/2006
Last updated
04/26/2021
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