Organization
SUSAN KIM MD PS
Active
Other names
Lake Washington Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN H KIM MD (PHYSICIAN)
(425) 821-6363
Entity
Organization
Contact information
Practice address
10117 NE 58TH ST STE 200, KIRKLAND, WA 98033-7450
(425) 821-6363
(425) 821-4804
Mailing address
10117 NE 58TH ST STE 200, KIRKLAND, WA 98033-7450
(425) 821-6363
(425) 821-4804
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00037239
WA
207ND0101X
MOHS-Micrographic Surgery Physician
MD00037239
WA
207ND0900X
Dermatopathology Physician
MD00037239
WA
Other
Enumeration date
09/14/2010
Last updated
03/29/2016
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