Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DE00009308 | WA |
NPI | 1003954496 |
---|---|
Provider Name | Dr. Kenny Kai Ho |
First Address | Kent, WA 98030-6800 |
Second Address | Kent, WA 98030-6800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5039748 | (05) | WA |
884515 | UNITED CONCORDIA # (01) | WA |