Kean B. Lawlor, MD, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD30728 Issued in WA

Legal business name

KEAN B. LAWLOR, MD, PLLC

Doing business as

Seattle Skin and Laser, PLLC

Practice address

21701 76TH Ave W
Suite 100
Edmonds, WA 98026-7536

Phone

(206) 525-1168

Fax

(206) 525-1169

NPI assigned

Sep 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Betty J Heupel

Title

Office Manager

Phone

(425) 486-2340

Specialties & licenses 1

Addresses

Other names 1

• Seattle Skin and Laser, PLLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1457547655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22833 BOTHELL EVERETT HWY",
            "address_2": "SUITE 201",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219385",
            "telephone_number": "425-486-2340",
            "fax_number": "425-483-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W",
            "address_2": "SUITE 100",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "206-525-1168",
            "fax_number": "206-525-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAN B. LAWLOR, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "HEUPEL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-486-2340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD30728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Skin and Laser, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Medina Kawakami, LMP
• Thomas Lee Kawano, M.D.
• Carolyn Kay, MD
• Berhane A Kbrom
• William Tanner Keal, LMT
• Ashlyn Kelleppan
• Rochelle A Kelleppan
• Kristin Emily Kellett, RN
• Kelly Druin Sievertson, Licsw
• Joshua M Kennedy, ST,XT,HCA

• Dermatology Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.