Individual
KEVIN EUGENE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2940 S MERIDIAN STE 100, PUYALLUP, WA 98373-1659
(253) 200-3166
(253) 200-3167
Mailing address
2920 S MERIDIAN STE 200, PUYALLUP, WA 98373-1428
(532) 200-3166
(253) 200-3167
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00046461
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9180009
—
WA
Enumeration date
08/10/2006
Last updated
06/11/2024
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