Individual
KIM M MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98195-0001
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61322083
WA
208M00000X
Hospitalist Physician
Primary
MD61322083
WA
363A00000X
Physician Assistant
60310464
WA
Other
Enumeration date
10/12/2012
Last updated
06/08/2023
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