Park, Md, Pllc, Kwang-Hie
Park, Md, Pllc, Kwang-Hie is an individual health care provider with primary practice located at 901 Boren Avenue Suite 1020, Seattle WA 98104-3508. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Park, Md, Pllc, Kwang-Hie can be contacted via phone (206) 682-8900.Contact Information
Primary practice address
901 Boren Avenue Suite 1020
Seattle WA 98104-3508
Phone: (206) 682-8900
Fax: (206) 624-1489
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD-00045549 | Washington |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD-00045549 | Washington |
Profile Details
NPI number | 1073575601 |
---|---|
LBN Legal business name | Park, Md, Pllc, Kwang-Hie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2006 |
Last updated | Dec 20th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073575601 | NPPES |
Washington | MEDICAID | 8439572 | |
Washington | MEDICAID | 8239572 |
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