# KENT FAMILY MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407800956
- **Authorized official:** DR. HARPREET SINGH CHHOKAR M.D. (MEMBER/MANAGER)
- **Authorized official phone:** (253) 520-7390

## Contact information

- **Practice address:** 10830 SE KENT KANGLEY RD, 100A, KENT, WA 98030-9959
- **Practice address phone:** (253) 520-7390
- **Practice address fax:** (253) 520-7028
- **Mailing address:** 12932 SE KENT KANGLEY RD, 184, KENT, WA 98030-7940
- **Mailing address phone:** (253) 520-7390
- **Mailing address fax:** (253) 520-7028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD00045566 | WA | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 11/06/2007