Provider Demographics
NPI:1841040987
Name:K&Y RO LLC
Entity type:Organization
Organization Name:K&Y RO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KWANG-HO
Authorized Official - Middle Name:
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-801-5042
Mailing Address - Street 1:1836 WESTLAKE AVE N STE 202
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2780
Mailing Address - Country:US
Mailing Address - Phone:503-801-5042
Mailing Address - Fax:
Practice Address - Street 1:1836 WESTLAKE AVE N STE 202
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2780
Practice Address - Country:US
Practice Address - Phone:503-801-5042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty