Individual
EDWARD KACHUN KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19116 33RD AVE W, LYNNWOOD, WA 98036-4706
(425) 712-7900
(425) 712-7905
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(425) 712-7900
(425) 712-7905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61548430
WA
Other
Enumeration date
03/26/2021
Last updated
11/06/2024
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