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Individual

DR. KENNETH C LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19200 NORTH KELSEY STREET, MONROE, WA 98272-1431
(425) 339-2433
(425) 339-8273
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00047536
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0225607
L & I
WA
01
G8870949
MEDICARE EOC-MONROE (NON KING CO.)
WA
Enumeration date
01/23/2007
Last updated
11/21/2013
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