Organization
KENT FAMILY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARPREET SINGH CHHOKAR M.D. (MEMBER/MANAGER)
(253) 520-7390
Entity
Organization
Contact information
Practice address
10830 SE KENT KANGLEY RD, 100A, KENT, WA 98030-9959
(253) 520-7390
(253) 520-7028
Mailing address
12932 SE KENT KANGLEY RD, 184, KENT, WA 98030-7940
(253) 520-7390
(253) 520-7028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7132822
—
WA
Enumeration date
05/20/2006
Last updated
11/06/2007
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