Individual provider · Type 1 NPI

Pennie Khong, NP

Family Nurse Practitioner · Federal Way, WA

NPI number 1770192924 Active

Practice location

33501 1st Way S
Federal Way, WA 98003-6208

Fax (253) 874-1637

Mailing address

PO Box 741515
Los Angeles, CA 90074-1515

Other practice locations

  • 3505 Spangler Ln Ste 400, Copperopolis, CA 95228-9424 · (209) 785-7000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP61090460 (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1770192924

Pennie Khong, NP's National Provider Identifier is 1770192924, issued on Jul 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Federal Way, WA. The record was last updated on Sep 28, 2026.