Healthcare Provider Details

I. General information

NPI: 1699027540
Provider Name (Legal Business Name): KARL KUEY KWOK PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2012
Last Update Date: 10/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX 356015
SEATTLE WA
98195-6015
US

IV. Provider business mailing address

6515 54TH AVE NE
SEATTLE WA
98115-7750
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-6060
  • Fax:
Mailing address:
  • Phone: 206-525-0561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPH00011381
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: