TABITHA KU

LONGVIEW, WA
NPI1801201785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: WA  MD61002866)
Additional Taxonomies207R00000X Internal Medicine
(Licence: KS  04-39947)
207R00000X Internal Medicine
(Licence: WA  MD61002866)
207R00000X Internal Medicine
(Licence: MO  2014021210)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: WA  md61002866)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: KS  04-39947)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: KS  04-39947)
Enumeration Date2014-06-30
Last Update Date2020-06-17
Business Address
TABITHA KU MD
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-414-2730
Mailing Address
TABITHA KU MD
SPECIALTY CLINIC - PULMONOLOGY/PULMONARY MEDICINE 1615 DELAWARE STREET
LONGVIEW, WA 98632
Phone number: 310-414-2730