Individual
DR. CHOLWOO ANTHONY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1519 3RD ST SE, STE 230, PUYALLUP, WA 98372-3724
(253) 841-9640
(253) 841-7645
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00037136
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031126
—
WA
Enumeration date
11/20/2006
Last updated
05/20/2022
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