Individual
JI-YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4410 106TH ST SW, MUKILTEO, WA 98275
(425) 493-6000
(425) 493-6030
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 493-6000
(425) 493-6030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60695726
WA
363LA2200X
Adult Health Nurse Practitioner
AP 60695726
WA
363LG0600X
Gerontology Nurse Practitioner
AP 60695726
WA
363LP2300X
Primary Care Nurse Practitioner
AP 60695726
WA
Other
Enumeration date
10/27/2016
Last updated
03/07/2019
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