Kingman K Ho, MD | |
24604 104th Ave Se, Suite 101, Kent, WA 98030-5385 | |
(253) 395-2001 | |
(253) 852-8012 |
Full Name | Kingman K Ho |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 24604 104th Ave Se, Kent, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265490700 | NPI | - | NPPES |
1093426 | Medicaid | WA | |
110116679 | Other | WA | RR MEDICARE |
0100973 | Other | WA | L&I |
HO3159 | Other | WA | REGENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00032727 (Washington) | Primary |
Entity Name | Providence Facey Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
Entity Name | Onclick Healthcare Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074963 PECOS PAC ID: 9830511260 Enrollment ID: O20200612000107 |
Mailing Address | Practice Location Address |
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Kingman K Ho, MD Po Box 59028, Renton, WA 98058-2028 Ph: (425) 251-5110 | Kingman K Ho, MD 24604 104th Ave Se, Suite 101, Kent, WA 98030-5385 Ph: (253) 395-2001 |
Jennifer Lynn Azen, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23213 Pacific Hwy S., Kent, WA 98032 Phone: 206-543-0065 | |
Hien Pham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-395-1944 | |
Dr. Rijuna Menon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-1944 Fax: 253-520-3242 | |
Sandra Marian Lord, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23213 Pacific Hwy S, Kent, WA 98032 Phone: 206-870-8880 | |
Dr. Andrew Trueman Brockenbrough, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-690-3544 Fax: 425-690-9444 | |
Brian Wayne Goodell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24705 142nd Ave Se, Kent, WA 98042 Phone: 253-631-6154 |