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Individual

KEVIN AU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2700 152ND AVE NE, REDMOND, WA 98052-5543
(425) 883-5461
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00016001
WA
2086S0129X
Vascular Surgery Physician
MD00016001
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8436701
WA
Enumeration date
01/03/2007
Last updated
05/22/2008
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