Individual
MR. KEVIN L CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4727 DENVER AVE S, SEATTLE, WA 98134-2316
(206) 763-2626
Mailing address
4727 DENVER AVE S, SEATTLE, WA 98134-2316
(206) 763-2626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60172209
WA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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