Individual
KRISTIN T TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
(206) 215-6364
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60969737
WA
208M00000X
Hospitalist Physician
MD60969737
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138516
—
WA
Enumeration date
04/06/2016
Last updated
01/05/2023
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