Individual
KI S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L, AC.
Contact information
Practice address
8202 NE STATE HIGHWAY 104, SUITE 105, KINGSTON, WA 98346-9454
(360) 297-0037
(360) 267-0420
Mailing address
8202 NE STATE HIGHWAY 104, SUITE 105, KINGSTON, WA 98346-9454
(360) 297-0037
(360) 267-0420
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60131515
WA
Other
Enumeration date
04/21/2010
Last updated
11/08/2010
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