Individual
KELVIN K KIBATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3005 S 47TH ST APT 48, TACOMA, WA 98409-6561
(253) 888-9417
Mailing address
3005 S 47TH ST APT 48, TACOMA, WA 98409-6561
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61330844
WA
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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