Provider Demographics
NPI:1457678351
Name:KONG, NATALIE KA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:KA
Last Name:KONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:521 MARTIN LUTHER KING JR. WAY
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405
Mailing Address - Country:US
Mailing Address - Phone:253-403-2938
Mailing Address - Fax:253-403-2968
Practice Address - Street 1:521 MARTIN LUTHER KING JR. WAY
Practice Address - Street 2:TACOMA FAMILY MEDICINE RURAL MEDICINE FELLOWSHIP
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-403-2938
Practice Address - Fax:253-403-2968
Is Sole Proprietor?:No
Enumeration Date:2010-05-01
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60370504207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine