Individual
DR. DAVID KEESU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 NW MYHRE RD, SILVERDALE, WA 98383-7681
(360) 830-1100
Mailing address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
(360) 782-3600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
44747
MN
2085R0202X
Diagnostic Radiology Physician
Primary
MD00048942
WA
2085R0202X
Diagnostic Radiology Physician
MED-PHYS-LIC-92134
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203670300
—
MN
01
—
269239
WA LABOR & INDUSTRIES
WA
Enumeration date
02/15/2006
Last updated
10/03/2024
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