Individual
REGINA J H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26004 104TH AVE SE, KENT, WA 98030-7677
(425) 251-4040
(877) 514-9952
Mailing address
26004 104TH AVE SE, KENT, WA 98030-7677
(425) 251-4040
(877) 514-9952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036112620
IL
207Q00000X
Family Medicine Physician
Primary
MD61469999
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112620
—
IL
Enumeration date
09/01/2006
Last updated
01/14/2025
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