Provider Demographics
NPI:1982498978
Name:SALAS CORDERO, KEVIN ONEL (RN)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:ONEL
Last Name:SALAS CORDERO
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 SUMMIT AVE APT 304
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2370
Mailing Address - Country:US
Mailing Address - Phone:939-209-1363
Mailing Address - Fax:
Practice Address - Street 1:1616 SUMMIT AVE APT 304
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2370
Practice Address - Country:US
Practice Address - Phone:939-209-1363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61352125163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health