Individual
DR. ALICE J. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
(425) 557-8014
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60070627
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8553570
—
WA
01
—
P00829976
RAILROAD MEDICARE
WA
Enumeration date
07/12/2007
Last updated
04/15/2015
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