Individual
JONATHAN J KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6626 60TH ST W, UNIVERSITY PLACE, WA 98467-2110
(253) 225-8241
Mailing address
6626 60TH ST W, UNIVERSITY PLACE, WA 98467-2110
(253) 225-8241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23482073
WA
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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