Organization
SOON H. KIMM, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON H KIMM M.D. (PRESIDENT)
(206) 542-7606
Entity
Organization
Contact information
Practice address
1207 N 200TH ST, SUITE 215, SHORELINE, WA 98133-3213
(206) 542-7606
(206) 533-9880
Mailing address
1207 N 200TH ST, SUITE 215, SHORELINE, WA 98133-3213
(206) 542-7606
(206) 533-9880
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD00022272
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112747
—
WA
Enumeration date
04/21/2008
Last updated
04/21/2008
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