Individual
JONATHAN S KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 848-4120
(360) 424-7945
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO60720189
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
17961-875
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60720189
WA
Other
Enumeration date
10/09/2014
Last updated
05/08/2023
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