Individual
SHINJE KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
(253) 968-1586
Mailing address
WH3S9A, 549 HC/BAACH, UNIT 15245, APO, AP 96271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
12/12/2023
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