Individual
KENT THIEN TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 112TH AVE NE STE 202, BELLEVUE, WA 98004-3759
(425) 590-9521
(425) 590-9574
Mailing address
1380 112TH AVE NE STE 202, BELLEVUE, WA 98004-3759
(425) 590-9521
(425) 590-9574
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00040870
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186101
L I
WA
01
—
3247TA
REGENCE
WA
01
—
5891740001
DME
WA
05
—
8390346
—
WA
01
—
P00337140
PALMETTO RR MEDICARE
WA
Enumeration date
09/30/2005
Last updated
08/29/2023
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