Individual
YOUNG HO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 S UNION AVE STE B7011, TACOMA, WA 98405-1807
(253) 627-5755
(253) 627-7385
Mailing address
1901 S UNION AVE STE B7011, TACOMA, WA 98405-1807
(253) 627-5755
(253) 627-7385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2008-0737
NM
207RN0300X
Nephrology Physician
Primary
MD60744505
WA
390200000X
Student in an Organized Health Care Education/Training Program
101645666
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60744505
MEDICAL LICENSE
WA
Enumeration date
10/24/2008
Last updated
05/07/2018
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