Kevin Lok, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26608 Issued in NE

Practice address

600 Barnes Blvd.
McChord Medical Clinic
JBLM, WA 98438

Phone

(253) 962-7103

NPI assigned

Jun 3, 2010

Last updated

Jan 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1548580392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 SUTTER LN SE # E202",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985031472",
            "telephone_number": "347-556-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BARNES BLVD.",
            "address_2": "MCCHORD MEDICAL CLINIC",
            "city": "JBLM",
            "state": "WA",
            "postal_code": "98438",
            "telephone_number": "253-962-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOK",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "26608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer M Harris
• Katarzyna Hefflefinger, DPT
• Stephanie Herrala, DMD
• Pamela Jernigan, RDH
• Angela Maria Lewis
• Sammy Martinez, 164W00000X
• Jane K McIntosh
• Sandra Christine Milton, PA-C
• Katrina Salinas Monti, PA-C
• Munawar P. Mumtaz, M.D.

• Family Medicine Physician in JBLM, WA
• Providers in JBLM, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.