Individual
WON KY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17700 NE 76TH ST, REDMOND, WA 98052-3300
(206) 498-8568
Mailing address
7977 170TH AVE NE APT B428, REDMOND, WA 98052-4079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60971324
WA
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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