Individual
MR. JOHNY KI-WON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23320 HIGHWAY 99, EDMONDS, WA 98026-8744
(425) 789-3700
Mailing address
23320 HIGHWAY 99, EDMONDS, WA 98026-8744
(425) 789-3700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003263
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8409229
—
WA
Enumeration date
09/07/2006
Last updated
03/18/2026
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