Individual
DR. ELLEN M KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
560 GAGE BLVD STE 206, RICHLAND, WA 99352-8650
(509) 942-3286
(509) 628-1354
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00046853
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8458986
—
WA
Enumeration date
06/23/2005
Last updated
06/13/2022
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