Individual
DR. BONG SUP KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15208 AURORA AVE N, SHORELINE, WA 98133-6124
(206) 362-3361
(206) 362-7055
Mailing address
15208 AURORA AVE N, SHORELINE, WA 98133-6124
(206) 362-3361
(206) 362-7055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00023608
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068048
—
WA
Enumeration date
10/31/2006
Last updated
12/14/2009
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