Individual
KATHLEEN KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9607 122ND AVE SE, RENTON, WA 98056-2414
(848) 248-0860
Mailing address
9607 122ND AVE SE, RENTON, WA 98056-2414
(848) 248-0860
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN61191446
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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