Provider Demographics
NPI:1205323243
Name:LUK, KEVIN MAN HIN
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:MAN HIN
Last Name:LUK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 SW 39TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-4912
Mailing Address - Country:US
Mailing Address - Phone:425-690-3483
Mailing Address - Fax:425-690-9083
Practice Address - Street 1:660 SW 39TH ST STE 150
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-4912
Practice Address - Country:US
Practice Address - Phone:425-690-3483
Practice Address - Fax:425-690-9083
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2022-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61249411207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology