Most Relevant Information
Provider Data
| NPI Number: | 1003493982 |
| Provider Name: | EDWARD KACHUN KONG DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | OP61548430 |
Most Important Dates
| Enumeration Date: | 03/26/2021 |
| Last Updated: | 11/06/2024 |
Provider Practice Location
19116 33RD AVE W
LYNNWOOD
WA
980364706
Practice Location Phone/Fax
| Phone: | 4257127900 |
| Fax: | 4257127905 |
Provider Mailing Location
PO BOX 741515
LOS ANGELES
CA
900741515
Provider Mailing Phone/Fax
| Phone: | 4257127900 |
| Fax: | 4257127905 |
Suggested EMR
Internist EMR