Individual
DR. KENNY S LOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
400 COSTCO DR # 150, TUKWILA, WA 98188-4808
(206) 574-7117
Mailing address
10228 SE 186TH ST, RENTON, WA 98055-8428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3117 TX
WA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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