Individual
EDWARD KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 750-7507
(208) 750-7384
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 750-7507
(208) 750-7384
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
39929
WA
207RC0000X
Cardiovascular Disease Physician
Primary
M-15510
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386752913
—
ID
05
—
BK 5346970
—
WA
Enumeration date
08/25/2006
Last updated
12/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us