Individual
KENT THIEN TA
Active
Individual
KENT THIEN TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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