Provider Demographics
NPI:1124341789
Name:YEE, KUO CHIANG (LAC PHD)
Entity type:Individual
Prefix:MR
First Name:KUO
Middle Name:CHIANG
Last Name:YEE
Suffix:
Gender:M
Credentials:LAC PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 130TH ST SE
Mailing Address - Street 2:#202, NEUROSCIENCE MEDICAL CENTER
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208
Mailing Address - Country:US
Mailing Address - Phone:425-357-8964
Mailing Address - Fax:425-379-2624
Practice Address - Street 1:125 130TH ST SE
Practice Address - Street 2:#202, NEUROSCIENCE MEDICAL CENTER
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208
Practice Address - Country:US
Practice Address - Phone:425-357-8964
Practice Address - Fax:425-379-2624
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC0G171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist