Individual
JASON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22510 SE 64TH PL, SUITE 120, ISSAQUAH, WA 98027-5390
(425) 391-2722
Mailing address
22510 SE 64TH PL, SUITE 120, ISSAQUAH, WA 98027-5390
(425) 391-2722
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD00047320
WA
Other
Enumeration date
09/02/2006
Last updated
06/11/2010
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