Individual
MR. KEVIN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4310 BRIDGEPORT WAY W STE A, UNIVERSITY PLACE, WA 98466-4337
(253) 459-7177
Mailing address
2209 12TH CT NW, AUBURN, WA 98001-3515
(253) 797-8354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
10/23/2019
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