Individual
MARSHALL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
14450 NE 29TH PL STE 203, BELLEVUE, WA 98007-8616
(425) 998-7884
Mailing address
14450 NE 29TH PL STE 203, BELLEVUE, WA 98007-8616
(425) 998-7884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60637595
WA
363LA2100X
Acute Care Nurse Practitioner
23668
CA
Other
Enumeration date
10/01/2014
Last updated
08/24/2021
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