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Individual

DR. ALICE J. KIM

Active
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Individual

DR. ALICE J. KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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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