OrganizationActive
Kevin Dooms MD PLLC
NPI 1174800593 · Medical Specialty Clinic/Center · Issaquah, WA
Provider details
- NPI number
- 1174800593
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Dooms, Physician, Sole Member(425) 455-8391
- License
- 603-140-833 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
751 Ne Blakely Dr
Issaquah, WA 98029-6201
Phone: (206) 223-9322
Fax: (425) 455-8391
Approximate (ZIP-level) locationGet directions
Mailing address
901 Boren Ave
Seattle, WA 98104-3595
Registry dates
- Enumerated
- 2011-11-14
- Last updated
- 2011-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.