Individual
CHIA-JEN KUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1111 PACIFIC AVE, SUITE B, EVERETT, WA 98201-4032
(425) 257-1100
(425) 257-1106
Mailing address
1111 PACIFIC AVE, SUITE B, EVERETT, WA 98201-4200
(425) 257-1100
(425) 257-1106
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00031127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114883
—
WA
01
—
912171951
TAX ID
WA
Enumeration date
08/19/2006
Last updated
02/17/2012
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