Provider Demographics
NPI:1699115345
Name:KAPLAN, KAELEY ERIN (MD)
Entity type:Individual
Prefix:MS
First Name:KAELEY
Middle Name:ERIN
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:KAELEY
Other - Middle Name:ERIN
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3500 ORCHARD PL
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1749
Mailing Address - Country:US
Mailing Address - Phone:360-671-3900
Mailing Address - Fax:360-647-0882
Practice Address - Street 1:3500 ORCHARD PL
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1749
Practice Address - Country:US
Practice Address - Phone:360-671-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60760245207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine