Organization
KIM PRUESS NEVINS MD PLLC
Active
Organization
KIM PRUESS NEVINS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ELIZABETH PRUESS NEVINS MD (MD OWNER)
(425) 391-0313
Entity
Organization
Contact information
Practice address
450 NW GILMAN BLVD, STE 301A, ISSAQUAH, WA 98027
(425) 391-0313
(425) 837-8501
Mailing address
PO BOX 1225, ISSAQUAH, WA 98027-0047
(425) 391-0313
(425) 837-8501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00038616
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC8003
RAILROAD MEDICARE
—
Enumeration date
01/18/2006
Last updated
05/31/2011
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