Individual
HENDRIK S KOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
710 BIRCHWOOD AVE, #101, BELLINGHAM, WA 98225-1720
(360) 676-0922
(360) 671-4726
Mailing address
710 BIRCHWOOD AVE, #101, BELLINGHAM, WA 98225-1720
(360) 676-0922
(360) 671-4726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005230
WA
363AM0700X
Medical Physician Assistant
PA10005230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225246
LIWA
WA
01
—
2901KO
BSWA
WA
01
—
6059600 02
USDLAB
WA
05
—
8494338
—
WA
Enumeration date
08/14/2007
Last updated
12/15/2011
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