Basic Information
Provider Information
NPI: 1790084341
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEA
FirstName: HELEN
MiddleName: KIM
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10016 131ST PL NE
Address2:  
City: KIRKLAND
State: WA
PostalCode: 980335288
CountryCode: US
TelephoneNumber: 4258900350
FaxNumber:  
Practice Location
Address1: 4800 SAND POINT WAY NE
Address2:  
City: SEATTLE
State: WA
PostalCode: 981053901
CountryCode: US
TelephoneNumber: 2069872000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/22/2011
LastUpdateDate: 12/01/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD60462375WAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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