Individual
FRANK P S FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24920 104TH AVE SE, KENT, WA 98030-6443
(425) 690-3544
(425) 690-9444
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00035164
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173100
LABOR & IND
WA
05
—
2109149
—
WA
05
—
8239311
—
WA
01
—
G8896016
MEDICARE - VALLEY MEDICAL GROUP
WA
Enumeration date
05/22/2006
Last updated
03/05/2020
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