Individual
KIMBERLY DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
C CO., 2D BSB, 2-2 SBCT, BOX 339550, JOINT BASE LEWIS MCCHORD, WA 98433-9998
(253) 966-7191
Mailing address
C CO., 2D BSB, 2-2 SBCT, BOX 339550, JOINT BASE LEWIS MCCHORD, WA 98433-9998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
06/12/2013
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