MR. Kevin Lee Vandelac, HS1
NPI #1861466070 in Seattle, Washington
Provider Information
- NPI Number
- 1861466070
- Entity Type
- Individual
- Name
- MR. Kevin Lee Vandelac, HS1
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Technician, Other
- Credential
- HS1
- Enumeration Date
- Feb 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1519 ALASKAN WAY S
- Address 2
- COMMANDING OFFICER ISC SEATTLE
- City
- Seattle
- State
- Washington
- ZIP Code
- 98134-1102
- Phone
- (360) 217-6432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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