Individual
DR. NAMOU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 MADISON ST STE 1523, SEATTLE, WA 98104-1342
(206) 292-6464
(206) 292-6498
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD60101869
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD60101869
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336125798
—
WA
01
—
298197
DEPT OF LABOR & INDUSTRIES
WA
05
—
8550915
—
WA
Enumeration date
12/19/2005
Last updated
06/16/2021
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