Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KENNETH R WU M.D.
NPI 1336105055
Pediatrics in Longview, WA

Active since April 21, 2006
971 11TH AVE, LONGVIEW, WA 98632(360) 423-6140(360) 423-1405 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth R Wu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH R WU M.D. (NPI 1336105055) is an individual pediatrics provider in Longview, Washington, licensed in Washington (MD00045359) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1336105055
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KENNETH R WUCredential: M.D.
Location Address971 11TH AVELongview, WA 98632-2503
Mailing Address971 11th AveLongview, WA 98632-2503 · (360) 423-6140 · Fax (360) 423-1405
Fax(360) 423-1405
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1336105055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WA · MD00045359
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

971 11TH AVE, Longview, WA 98632

Other Identifiers 1

Medicaid8440570WA

Accepted Insurance

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Nurse Practitioner (Pediatrics)
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Case Manager/Care Coordinator
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Nurse Practitioner (Pediatrics)
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics
971 11TH AVE
LONGVIEW, WA 98632
Pediatrics (Pediatric Cardiology)
971 11TH AVE
LONGVIEW, WA 98632
Counselor
971 11TH AVE
LONGVIEW, WA 98632
Nurse Practitioner (Pediatrics)
971 11TH AVE
LONGVIEW, WA 98632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336105055, enumerated as an "individual" on April 21, 2006.

The provider is located at 971 11TH AVE LONGVIEW, WA 98632 and the phone number is (360) 423-6140.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.