Individual
KYUNG EUN MIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-1447
(360) 794-1485
Mailing address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-1447
(360) 794-1485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00040296
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8313447
—
WA
Enumeration date
03/03/2006
Last updated
07/08/2007
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