Individual
KEVIN KHA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5700 E LAKE SAMMAMISH PKWY SE, ISSAQUAH, WA 98029-8914
(808) 232-7841
Mailing address
1300 EAGLE RIDGE DR S APT K1071, RENTON, WA 98055-3412
(808) 232-7841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61311531
WA
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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