Individual
DR. JOHN H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17638 140TH AVE NE, WOODINVILLE, WA 98072-6800
(425) 485-4100
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60294832
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297258
L&I
—
05
—
1154596740
—
WA
Enumeration date
04/24/2008
Last updated
02/14/2013
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