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Organization

S.F. MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE W KIM D.O. (MEDICAL DIRECTOR/OWNER)
(253) 536-2824
Entity
Organization

Contact information

Practice address
144 169TH ST S STE A, SPANAWAY, WA 98387-8242
(253) 536-2824
(253) 536-3070
Mailing address
144 169TH ST S STE A, SPANAWAY, WA 98387-8242
(253) 536-2824
(253) 536-3070

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207QA0401X
Addiction Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RA0401X
Addiction Medicine (Internal Medicine) Physician
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
363LF0000X
Family Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
08/08/2006
Last updated
09/11/2025
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