Provider Demographics
NPI:1720266752
Name:FRANKE, KELVIN DANIEL (DO)
Entity type:Individual
Prefix:DR
First Name:KELVIN
Middle Name:DANIEL
Last Name:FRANKE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3213 EASTLAKE AVE E
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-7127
Mailing Address - Country:US
Mailing Address - Phone:206-861-8200
Mailing Address - Fax:206-324-1178
Practice Address - Street 1:4300 198TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6771
Practice Address - Country:US
Practice Address - Phone:425-361-1122
Practice Address - Fax:206-834-6021
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125049655208100000X
WAOP00002330208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00630900OtherRAILROAD MEDICARE
WA8873908Medicare PIN