Provider Demographics
NPI:1982259271
Name:KUO, LING-YUN (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:LING-YUN
Middle Name:
Last Name:KUO
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:LILLY
Other - Middle Name:
Other - Last Name:KUO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED DIETITIAN
Mailing Address - Street 1:18828 SMOKEY POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8266
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18828 SMOKEY POINT BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8266
Practice Address - Country:US
Practice Address - Phone:360-545-5280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1105922133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered