Individual
KEVIN C CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5435
Mailing address
7320 216TH ST SW, STE 220, EDMONDS, WA 98026-8006
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39282
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019920
—
WA
Enumeration date
10/03/2006
Last updated
10/22/2019
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