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General NPI Number Information
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NPI Number | 1699195321
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Entity Type | Organization
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Legal Business Name | KEVIN W. LOUIE MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 2100 WEBSTER ST STE 117
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2374
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Country | US
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Telephone | 415-600-3835
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Fax | 415-600-3887
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Provider Business Mailing Address
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Address Line | 2100 WEBSTER ST STE 117
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2374
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Country | US
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Telephone | 415-600-3835
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Fax | 415-600-3887
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN W. LOUIE
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Credential | MD
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Telephone | 415-417-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 202X00000X
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License Number State | CA
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