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Individual

DR. ANTONY Y KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1901 S CEDAR ST, SUITE 301, TACOMA, WA 98405-2308
(253) 396-4806
(253) 845-4948
Mailing address
1901 S CEDAR ST, SUITE 301, TACOMA, WA 98405-2308
(253) 396-4806
(253) 845-4948

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD60315498
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2003717
WA
Enumeration date
12/14/2006
Last updated
05/14/2013
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