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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073575601 NPPES
Washington MEDICAID 8439572
Washington MEDICAID 8239572

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