Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellen Takeshi Imada

Individual provider Psychologist · NPI 1154979540

Kellen Takeshi Imada is a Psychologist in Seattle, Washington. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

5608 17th Ave NW # 1258
Seattle, WA 98107-5232
Phone: (646) 389-6232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1154979540
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2019
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address5608 17th Ave Nw # 1258, Seattle, WA 98107-5232

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