Individual
ASHLEY S KIM
Active
Individual
ASHLEY S KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
023038-1
NY
363A00000X
Physician Assistant
PA61243234
WA
363AM0700X
Medical Physician Assistant
023038-1
NY
363AS0400X
Surgical Physician Assistant
023038-1
NY
363AS0400X
Surgical Physician Assistant
Primary
PA61243234
WA
Other
Enumeration date
11/28/2018
Last updated
05/02/2022
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