Keith C Tang, M.D.
Family Medicine in Port Orchard, WA. Individual provider (NPI-1).
NPI number1720160013
StatusActive
Last updated in NPPESMar 23, 2009
Details
- NPI
- 1720160013
- Entity type
- Individual (NPI-1)
- Name
- Keith C Tang
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Mar 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00044239 | WA | Yes |
Practice location
450 S Kitsap Blvd Ste 100Port Orchard, WA 98366-3709
Phone 360-744-6275 · Fax 360-744-6270
Mailing address
2520 Cherry AveBremerton, WA 98310-4229
Phone 360-744-3911 · Fax 360-744-6188
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