Individual
ALICE HYUN-KYUNG TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18700 SE 65TH PL, ISSAQUAH, WA 98027-8668
(425) 270-0648
Mailing address
18700 SE 65TH PL, ISSAQUAH, WA 98027-8668
(425) 270-0648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61094526
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61094526
WASHINGTON STATE CREDENTIAL
WA
Enumeration date
09/13/2022
Last updated
09/13/2022
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