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MR. KELLY MARK BUCHANAN LMT
NPI 1083761423
Specialist in Federal Way, WA

Active since January 05, 2007
500 S 336TH ST, FEDERAL WAY, WA 98003(253) 312-2217 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kelly Mark Buchanan Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KELLY MARK BUCHANAN LMT (NPI 1083761423) is an individual specialist in Federal Way, Washington, licensed in Washington (MA00015776) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1083761423
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. KELLY MARK BUCHANANCredential: LMT
Location Address500 S 336TH STFederal Way, WA 98003-6389
Mailing Address500 S 336th St Ste 110Federal Way, WA 98003-6389 · (253) 312-2217
Phone(253) 312-2217
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1083761423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MA00015776
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedMassage TherapistTaxonomy 225700000X · License MA00015776 (WA)
500 S 336TH ST, Federal Way, WA 98003
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVELYN G COTTER LMP
Massage Therapist
500 S 336TH ST, SUITE 205
FEDERAL WAY, WA 98003
King County (253) 226-7839
BIANCHI HOME CARE INC.
In Home Supportive Care
500 S 336TH ST, STE 204
FEDERAL WAY, WA 98003
King County (253) 945-1400
LUTHER RAY LEONARD
Peer Specialist
500 S 336TH ST
FEDERAL WAY, WA 98003
King County (253) 259-1083
SARAH J PETERS LMP
Massage Therapist
500 S 336TH ST, SUITE 104
FEDERAL WAY, WA 98003
King County (253) 951-7693

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Buchanan's NPI number?

The NPI number for Kelly Buchanan is 1083761423. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Kelly Buchanan located?

Kelly Buchanan practices at 500 S 336th St, Federal Way, WA 98003. The listed phone number is (253) 312-2217.

What is Kelly Buchanan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Buchanan was last updated on July 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.