Individual
DR. KATHY I-WEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1519 3RD ST SE STE 101, PUYALLUP, WA 98372-3742
(253) 841-8939
(253) 841-5944
Mailing address
PO BOX 84125, SEATTLE, WA 98124-5425
(253) 841-8939
(253) 841-5944
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A9456
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
220817
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
OP00002056
WA
208VP0014X
Interventional Pain Medicine Physician
Primary
OP00002056
WA
Other
Enumeration date
11/01/2006
Last updated
06/30/2009
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