Provider Demographics
NPI:1871318329
Name:KAO, KANGLING JESSICA (CPC, CPMA, RAC-CTA)
Entity type:Individual
Prefix:
First Name:KANGLING JESSICA
Middle Name:
Last Name:KAO
Suffix:
Gender:F
Credentials:CPC, CPMA, RAC-CTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15517 FAIR OAKS DR S
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-9051
Mailing Address - Country:US
Mailing Address - Phone:360-869-1644
Mailing Address - Fax:
Practice Address - Street 1:15517 FAIR OAKS DR S
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-9051
Practice Address - Country:US
Practice Address - Phone:360-869-1644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR010647171R00000X
008944171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter