Individual
DR. CASEY KWON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18623 HIGHWAY 99, STE 230, LYNNWOOD, WA 98037-4552
(425) 672-8282
(425) 275-5144
Mailing address
18623 HIGHWAY 99, STE 230, LYNNWOOD, WA 98037-4552
(425) 672-8282
(425) 275-5144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00046002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122969
—
WA
Enumeration date
04/18/2006
Last updated
02/18/2011
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