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Individual

KWANG-HIE PARK, MD, PLLC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
901 BOREN AVENUE, SUITE 1020, SEATTLE, WA 98104-3508
(206) 682-8900
(206) 624-1489
Mailing address
901 BOREN AVENUE, SUITE 1020, SEATTLE, WA 98104-3508
(206) 682-8900
(206) 624-1489

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD-00045549
WA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD-00045549
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8239572
WA
05
8439572
WA
Enumeration date
04/06/2006
Last updated
12/20/2011
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