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Individual

JONATHAN S KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125054778
CA
207P00000X
Emergency Medicine Physician
8371682
ID
207P00000X
Emergency Medicine Physician
EMTL-2020-015
GU
207P00000X
Emergency Medicine Physician
Primary
MD60204584
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0282331
L&I
WA
05
1023270774
WA
Enumeration date
06/25/2008
Last updated
01/19/2026
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