Individual
DR. KENNETH H FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
4300 TALBOT RD S STE 300, RENTON, WA 98055-6238
(425) 228-6262
(425) 228-6260
Mailing address
4300 TALBOT RD S STE 300, RENTON, WA 98055-6238
(425) 228-6262
(425) 228-6260
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60082231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8544561
—
WA
01
—
G9043259
MEDICARE
WA
Enumeration date
04/10/2007
Last updated
01/03/2024
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