Individual
SOOYEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1135 116TH AVE NE STE 305, BELLEVUE, WA 98004-4623
(425) 453-1772
Mailing address
160 DENTAL CIR BLDG CB7212, CHAPEL HILL, NC 27599-5021
(919) 966-3391
(919) 966-2898
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2021-01339
NC
2086S0129X
Vascular Surgery Physician
Primary
MD61414864
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
08/22/2023
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