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Organization

JKW MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIAKUN WANG MD (OWNER)
(615) 423-9545
Entity
Organization

Contact information

Practice address
11504 NE 21ST ST, BELLEVUE, WA 98004-3025
(425) 698-3033
(425) 968-6357
Mailing address
11504 NE 21ST ST, BELLEVUE, WA 98004-3025
(425) 698-3033
(425) 968-6357

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60003277
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2005338
WA
Enumeration date
01/07/2010
Last updated
10/04/2022
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