Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD00018142 | WA |
NPI | 1245299452 |
---|---|
Provider Name | Dr. Kenneth Y.k. Leung |
First Address | Seattle, WA 98101-1878 |
Second Address | Seattle, WA 98104-3586 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A05003 | (02) | WA |