Provider Demographics
NPI:1295001436
Name:KAPELA, ROBERT FARRELL (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FARRELL
Last Name:KAPELA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:FARRELL
Other - Last Name:KAPELOWITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6619 132ND AVE NE
Mailing Address - Street 2:PMB 266
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-8627
Mailing Address - Country:US
Mailing Address - Phone:425-885-7996
Mailing Address - Fax:
Practice Address - Street 1:5652 132ND AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1033
Practice Address - Country:US
Practice Address - Phone:425-885-7996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 00009694207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology