Individual
DR. KELVIN G. MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
Mailing address
PO BOX 16546, SEATTLE, WA 98116-0546
(206) 937-6051
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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