Individual
MICHELLE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3576
Mailing address
PO BOX 50095, CAMBRIDGE HEALTH ALLIANCE, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY60311856
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437290830
—
WA
Enumeration date
02/09/2007
Last updated
02/12/2014
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