Healthcare Provider Details

I. General information

NPI: 1669747861
Provider Name (Legal Business Name): KEN HE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 04/19/2025
Certification Date: 04/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY VA PUGET SOUND HCS
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

V. Phone/Fax

Practice location:
  • Phone: 253-583-3221
  • Fax: 206-277-6087
Mailing address:
  • Phone: 253-583-3221
  • Fax: 206-277-6087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60484294
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD60484294
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: