Individual
TAE HOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 29TH ST NE, PUYALLUP, WA 98372-6774
(253) 840-4400
Mailing address
16419 HILLPOINTE CIR, LYNNWOOD, WA 98037-8332
(425) 329-9561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60664549
WA
Other
Enumeration date
08/19/2016
Last updated
04/24/2017
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