Healthcare Provider Details

I. General information

NPI: 1952728313
Provider Name (Legal Business Name): DANIEL ZERN-CHON KUO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2014
Last Update Date: 12/17/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST RM BB-527 BOX 356421
SEATTLE WA
98195-6421
US

IV. Provider business mailing address

1959 NE PACIFIC ST RM BB-527 BOX 356421
SEATTLE WA
98195-6421
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-3605
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: