Individual
KEVIN DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
(253) 848-1126
Mailing address
3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
(253) 848-1126
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61175518
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2020
Last updated
02/17/2022
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