Laura S Kok, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

WA PA10002629 Issued in WA

Practice address

12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055

Phone

(360) 418-6001

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Laura Tull Kok Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245338201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 HIGHLAND DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617143",
            "telephone_number": "360-693-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12607 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846055",
            "telephone_number": "360-418-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOK",
        "first_name": "LAURA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "WA PA10002629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KOK",
            "middle_name": "TULL",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Kohn, L.M.T.
• Keli Koistinen, PTA
• Marlene Koitzsch, AAC
• Kojis Chiropractic PS
• John D Kojis, D.C.
• Monica Sabra Kok, BS, CDPT
• Lauren Gael Kolb, COTA
• Erin Corry Kole, CPD, THW
• Violetta Alekseevna Kolesnikova, M.D.
• Kathryn Stegen Kolibaba, M.D.

• Physician Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.