Individual
EDDIE P KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1400 164TH SW, LYNNWOOD, WA 98037
(425) 741-8937
Mailing address
23614 107TH PL W, EDMONDS, WA 98020
(206) 542-0962
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1165
WA
152W00000X
Optometrist
1319
OR
152W00000X
Optometrist
1678
MN
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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