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Individual
DR. TONY D. H. KIM
Active
Individual
DR. TONY D. H. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000627
WA
213ER0200X
Radiology Podiatrist
PO00000627
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO00000627
WA
213ES0131X
Foot Surgery Podiatrist
PO00000627
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35677
WA STATE LABOR AND INDUSTRY
WA
01
—
480028469
PALMETO GBA RAILROAD MEDICARE IND #
WA
05
—
8235145
—
WA
01
—
CS9149
PALMETTO GBA RAILROAD MEDICARE GROUP #
WA
Enumeration date
06/22/2006
Last updated
04/28/2008
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