Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Lactaoen Ruaro

Individual provider Hospitalist Physician · NPI 1376289819

Kevin Lactaoen Ruaro is a Family Practice in Burien, Washington. Graduated from Boston University School of Medicine in 2022, 4 years ago. Licensed in Arizona and Washington.

Years since qualifying
4
Trained at
Boston University School of Medicine
Licensed in
AZ, WA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

16110 8th Ave SW Ste A2
Burien, WA 98166-2962
Phone: (206) 242-8280
Fax: (206) 242-8302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD.MD.70097661 (WA)
Hospitalist Physician Taxonomy 208M00000X · Licence 77897 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence R79503 (AZ)

Record details

NPI number1376289819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2022
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Burien