Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kathy I-Wen Wang, DO

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1053499608

Dr. Kathy I-Wen Wang, DO is a Pain Management in Puyallup, Washington. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2000, 26 years ago. Practices with South Sound Neurosurgery PLLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Massachusetts and Washington.

Years since qualifying
26
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
CA, MA, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1519 3rd St SE Ste 101
Puyallup, WA 98372-3742
Phone: (253) 841-8939
Fax: (253) 841-5944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence OP00002056 (WA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence OP00002056 (WA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 20A9456 (CA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 220817 (MA)

Record details

NPI number1053499608
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJune 30, 2009
Mailing addressPo Box 84125, Seattle, WA 98124-5425

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2000 (26 years in practice)
Group practice South Sound Neurosurgery Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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