Individual
KHENYIAN CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 690-3422
(425) 690-9422
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 690-3422
(425) 690-9422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.146342
IL
207Q00000X
Family Medicine Physician
OP61258574
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
OP61258574
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487031068
—
NY
Enumeration date
05/02/2015
Last updated
04/03/2023
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