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Individual

STANLEY KONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
500 17TH AVE, SEATTLE, WA 98122-5711
(206) 320-2800
(206) 320-2827
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60273550
WA
363L00000X
Nurse Practitioner
Primary
AP60577140
WA

Other

Enumeration date
06/29/2015
Last updated
09/02/2015
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