Provider Demographics
NPI:1487411864
Name:SIGILAI, KELVIN KIPLANGAT
Entity type:Individual
Prefix:
First Name:KELVIN
Middle Name:KIPLANGAT
Last Name:SIGILAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12814 126TH WAY NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-7706
Mailing Address - Country:US
Mailing Address - Phone:253-600-7596
Mailing Address - Fax:
Practice Address - Street 1:12814 126TH WAY NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7706
Practice Address - Country:US
Practice Address - Phone:253-600-7596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61538635376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide