Individual
MR. KEITH KIMMAN LO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12844 MILITARY RD S, TUKWILA, WA 98168-3045
(206) 248-4625
(206) 248-4627
Mailing address
2307 NE 4TH ST, H301, RENTON, WA 98056-4083
(425) 687-1263
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00043322
WA
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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