Male or Other

Mr. Kun W. Ji L.AC, L.MP,

Full Name

Mr. Kun Won Ji L.AC, L.MP,

NPI Number

1184789836

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/23/2006

Specialties

(Taxonomies)

Code

171100000X
174400000X

Primary Taxonomy

No
No

Licenses

State

Washington
Washington

License Number

AC00000084
MA00001868

Contact
Information

Purpose

Mailing
Location

Address

14251 AMBAUM BLVD SW
14251 AMBAUM BLVD SW

City

Burien
Burien

State

WA
WA

Postal Code

98166-1421
98166-1421

Country

US
US

Telephone Number

(206) 241-7800
(206) 241-7800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address