Provider Demographics
NPI:1558650622
Name:KANG, MINJUNG (ND)
Entity Type:Individual
Prefix:DR
First Name:MINJUNG
Middle Name:
Last Name:KANG
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3417 EVANSTON AVE N
Mailing Address - Street 2:SUITE 429
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8626
Mailing Address - Country:US
Mailing Address - Phone:425-270-7187
Mailing Address - Fax:425-249-7448
Practice Address - Street 1:3417 EVANSTON AVE N
Practice Address - Street 2:SUITE 429
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8626
Practice Address - Country:US
Practice Address - Phone:425-270-7187
Practice Address - Fax:425-249-7448
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60206210175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath