Individual
RICHARD SUN KYU KWAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5756670-1205
UT
207R00000X
Internal Medicine Physician
MD60136118
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211RO
REGENCE
WA
01
—
0260516
L&I AND CRIME VICTIMS
WA
05
—
1447272323
—
WA
05
—
8567380
—
WA
01
—
9370535
AETNA
WA
Enumeration date
07/23/2006
Last updated
01/11/2012
Update your record
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