Individual
KENNY VAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-6307
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101279175
VA
208D00000X
General Practice Physician
0101279175
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2017
Last updated
07/15/2025
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