Healthcare Provider Details

I. General information

NPI: 1467459487
Provider Name (Legal Business Name): KIMBERLY YU-YI LIU DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8980 161ST AVE NE SUITE 400
REDMOND WA
98052-7554
US

IV. Provider business mailing address

PO BOX 34036
SEATTLE WA
98124-1036
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-2273
  • Fax: 425-899-2272
Mailing address:
  • Phone: 425-899-3292
  • Fax: 425-899-3269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP00001932
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: