Takemura, Kenneth K

Takemura, Kenneth K is an individual health care provider with primary practice located at 330 Sw 43Rd St Suite D, Renton WA 98057-4900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Takemura, Kenneth K can be contacted via phone (425) 251-9900.

Contact Information

Primary practice address
330 Sw 43Rd St Suite D Renton WA 98057-4900
Phone: (425) 251-9900
Fax: (425) 251-9909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD41579 Washington

Profile Details

NPI number 1669537411
LBN Legal business name Takemura, Kenneth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Sep 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669537411 NPPES
Washington Other 2763TA REGENCE BLUESHIELD

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