Provider Demographics
NPI:1588746176
Name:KEVIN W. LOUIE
Entity type:Organization
Organization Name:KEVIN W. LOUIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:LOUIE
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:415-600-3835
Mailing Address - Street 1:PO BOX 39000
Mailing Address - Street 2:DEPT. 33779
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-0001
Mailing Address - Country:US
Mailing Address - Phone:415-600-3835
Mailing Address - Fax:415-600-3887
Practice Address - Street 1:2100 WEBSTER ST
Practice Address - Street 2:117
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2373
Practice Address - Country:US
Practice Address - Phone:415-600-3835
Practice Address - Fax:415-600-3887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG45653207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty