Individual
DR. MITCHELL PATRICK KOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3417 ENSIGN RD NE, OLYMPIA, WA 98506-5064
(360) 493-4600
(360) 493-4603
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD60542557
WA
2085R0202X
Diagnostic Radiology Physician
EMC0005706
MI
2085R0202X
Diagnostic Radiology Physician
MD60542557
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0346189
LNI-SOUTH SOUND RADIOLOGY
WA
01
—
0383910
LNI-RADIA
WA
05
—
2048130
—
WA
Enumeration date
12/16/2005
Last updated
02/12/2025
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