Individual
DR. KELLY DENNIS LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 CARROLL ST, APT B7, BROOKLYN, NY 11215-2064
(917) 843-3696
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D72514
MD
207R00000X
Internal Medicine Physician
MD60335778
WA
208M00000X
Hospitalist Physician
Primary
MD60335778
WA
Other
Enumeration date
08/09/2007
Last updated
07/30/2020
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