Organization
PUGET SOUND KIDNEY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN KOUCHI (CHIEF FINANCIAL OFFICER)
(425) 259-5195
Entity
Organization
Contact information
Practice address
11950 47TH AVE SW, LAKEWOOD, WA 98499
(425) 259-5195
(425) 258-9610
Mailing address
1019 PACIFIC AVE, EVERETT, WA 98201-4148
(425) 259-5195
(425) 258-9610
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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