Judith H Kuo, MD | |
12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208-6642 | |
(425) 316-5160 | |
(425) 316-5163 |
Full Name | Judith H Kuo |
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Gender | Female |
Speciality | Pediatrics |
Location | 12800 Bothell Everett Hwy, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124129648 | NPI | - | NPPES |
8263527 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00038317 (Washington) | Primary |
Entity Name | Providence Health & Services- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
---|---|
Judith H Kuo, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983 | Judith H Kuo, MD 12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208-6642 Ph: (425) 316-5160 |
Sandra Liu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Dr. Leah E Hastings, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3300 Fax: 425-357-3317 | |
Dr. Amy Wang Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1424 Broadway, Everett, WA 98201 Phone: 425-789-2000 Fax: 425-789-2096 | |
Ashaini Kadakia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515 | |
David Luba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3302 | |
Dr. Ruth Ann Parish, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1424 Broadway, Everett, WA 98201 Phone: 425-789-2000 Fax: 425-789-2096 |