Individual
DR. HOJOONG MIKE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-5068
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00046850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231359
L&I
WA
05
—
1215015755
—
WA
Enumeration date
11/01/2006
Last updated
09/14/2012
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