Individual
KENNY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13056 SE 76TH ST, NEWCASTLE, WA 98056-4159
(425) 386-3833
Mailing address
12834 SE 41ST LN UNIT E101, BELLEVUE, WA 98006-1210
(206) 214-6388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1-60067333
WA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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