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Organization
WASHINGTON PODIATRY
Active
Organization
WASHINGTON PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE KIM DPM (PHYSICIAN)
(206) 321-2722
Entity
Organization
Contact information
Practice address
22510 SE 64TH PL, ISSAQUAH, WA 98027-5390
(800) 554-8144
Mailing address
7140 115TH CT SE, NEWCASTLE, WA 98056-1029
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60204241
WA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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