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NPI 1609119767

NPI 1609119767 : CHRISTINA ANN KWONG MD, PHD : SPOKANE VALLEY, WA

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General NPI Number Information
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    NPI Number           |    1609119767
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA ANN KWONG MD, PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/27/2013
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    13103 E MANSFIELD AVE 
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    City                 |    SPOKANE VALLEY
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    State                |    WA
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    Zip                  |    99216-1642
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    Country              |    US
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    Telephone            |    509-892-2700
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    Fax                  |    509-892-2740
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3405 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99220-3405
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    Country              |    US
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    Telephone            |    509-892-2700
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    Fax                  |    509-342-2743
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207ZC0006X
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    Taxonomy Name        |    Clinical Pathology Physician
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    License Number       |    M-14492
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    License Number State |    ID
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Taxonomy #2
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    Taxonomy Code        |    207ZC0006X
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    Taxonomy Name        |    Clinical Pathology Physician
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    License Number       |    MD60918921
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    207ZM0300X
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    Taxonomy Name        |    Medical Microbiology Physician
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    License Number       |    MD191342
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    License Number State |    OR
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Taxonomy #4
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    Taxonomy Code        |    207ZM0300X
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    Taxonomy Name        |    Medical Microbiology Physician
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    License Number       |    A157579
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    207ZC0006X
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    Taxonomy Name        |    Clinical Pathology Physician
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    License Number       |    10330389-1205
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    License Number State |    UT
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Taxonomy #6
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    Taxonomy Code        |    207ZC0006X
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    Taxonomy Name        |    Clinical Pathology Physician
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    License Number       |    A157579
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    License Number State |    CA
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Taxonomy #7
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    Taxonomy Code        |    207ZM0300X
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    Taxonomy Name        |    Medical Microbiology Physician
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    License Number       |    MD60918921
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    License Number State |    WA
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Taxonomy #8
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    Taxonomy Code        |    207ZM0300X
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    Taxonomy Name        |    Medical Microbiology Physician
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    License Number       |    M-14492
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    License Number State |    ID
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Taxonomy #9
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    Taxonomy Code        |    207ZM0300X
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    Taxonomy Name        |    Medical Microbiology Physician
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    License Number       |    141968
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    License Number State |    AK
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Taxonomy #10
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    Taxonomy Code        |    207ZC0006X
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    Taxonomy Name        |    Clinical Pathology Physician
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    License Number       |    141968
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    License Number State |    AK
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Taxonomy #11
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    Taxonomy Code        |    207ZM0300X
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    Taxonomy Name        |    Medical Microbiology Physician
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    License Number       |    MED-PHYS-LIC-70311
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    License Number State |    MT
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Taxonomy #12
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    Taxonomy Code        |    207ZM0300X
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    Taxonomy Name        |    Medical Microbiology Physician
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    License Number       |    10330389-1205
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    License Number State |    UT
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Taxonomy #13
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    Taxonomy Code        |    207ZC0006X
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    Taxonomy Name        |    Clinical Pathology Physician
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    License Number       |    MED-PHYS-LIC-70311
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    License Number State |    MT
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Taxonomy #14
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    Taxonomy Code        |    207ZC0006X
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    Taxonomy Name        |    Clinical Pathology Physician
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    License Number       |    MD191342
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    License Number State |    OR
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