Provider Demographics
NPI:1619175155
Name:KAY, MARLAN D (MD)
Entity Type:Individual
Prefix:
First Name:MARLAN
Middle Name:D
Last Name:KAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12039 NE 128TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3030
Mailing Address - Country:US
Mailing Address - Phone:425-899-3135
Mailing Address - Fax:425-899-3143
Practice Address - Street 1:12039 NE 128TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3030
Practice Address - Country:US
Practice Address - Phone:425-899-3135
Practice Address - Fax:425-899-3143
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD602446592084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology