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Individual

HONG KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCO/LP

Contact information

Practice address
1520 ROOSEVELT AVE, MOUNT VERNON, WA 98273-2685
(360) 416-6505
(360) 416-8241
Mailing address
1520 ROOSEVELT AVE, MOUNT VERNON, WA 98273-2685
(360) 416-6505
(360) 416-8241

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OI.60841234
WA
224P00000X
Prosthetist
PS.60990671
WA

Other

Enumeration date
12/10/2019
Last updated
12/10/2019
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