SearchWashington101YA0400X

Kenneth Lyons, MS, SUDP

NPI 1124558614 · on the registry since 2017

Practice

Address
3639 Mlk Jr Way S
Seattle, WA 98144
Phone
(206) 805-8972
Clinicians at this address
18

Additional practice sites

  • 16549 Aurora Ave N, Shoreline, WA

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101Y00000X
101Y00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington