Individual
MS. YOUNG RI KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-6521
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60954954
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F01191424
FAMILY NURSE PRACTITIONER
—
Enumeration date
04/30/2019
Last updated
03/04/2022
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