Wu, Kenneth R
Wu, Kenneth R is an individual health care provider with primary practice located at 971 11Th Ave , Longview WA 98632-2503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wu, Kenneth R can be contacted via phone (360) 423-6140.Contact Information
Primary practice address
971 11Th Ave
Longview WA 98632-2503
Phone: (360) 423-6140
Fax: (360) 423-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00045359 | Washington |
Profile Details
| NPI number | 1336105055 |
|---|---|
| LBN Legal business name | Wu, Kenneth R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336105055 | NPPES |
| Washington | MEDICAID | 8440570 |
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