Individual
LARA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
34503 9TH AVE S, SUITE 330, FEDERAL WAY, WA 98003-8727
(253) 383-3695
Mailing address
34503 9TH AVE S, SUITE 330, FEDERAL WAY, WA 98003-8727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60285347
WA
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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