| Doctor Name: | NEYSA M. KOURY |
| NPI Number: | 1093810152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA C |
| License Number: | |
| Business Practice Address: | 1355 N 205th St Shoreline, WA - 981333215 |
| Business Phone Number: | 2065425656 |
| Business Fax Number: | |
| Mailing Address: | Po Box 50095, SEATTLE |
| State: | WA |
| Postal Code: | 981455095 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 09/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |