Individual
MIKYUNG CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
(206) 341-0274
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60821954
WA
367500000X
Certified Registered Nurse Anesthetist
L6-0A00675
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104147289
—
DE
Enumeration date
06/12/2010
Last updated
05/10/2018
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