# WASHINGTON PODIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538577952
- **Authorized official:** DR. STEPHANIE KIM DPM (PHYSICIAN)
- **Authorized official phone:** (206) 321-2722

## Contact information

- **Practice address:** 22510 SE 64TH PL, ISSAQUAH, WA 98027-5390
- **Practice address phone:** (800) 554-8144
- **Mailing address:** 7140 115TH CT SE, NEWCASTLE, WA 98056-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO60204241 | WA | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 07/29/2014
