Organization
MB2K, LLC
Active
Other names
FAMILYCARE OF KENT
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE D WILEY ARNP (OWNER/MANAGER)
(253) 859-2273
Entity
Organization
Contact information
Practice address
10024 SE 240TH ST, SUITE 201, KENT, WA 98031-5124
(253) 859-2273
(253) 850-8894
Mailing address
10024 SE 240TH ST, SUITE 201, KENT, WA 98031-5124
(253) 859-2273
(253) 850-8894
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP30001318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9626888
—
WA
Enumeration date
02/01/2008
Last updated
07/22/2022
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