Individual
DR. JI EUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, FNP-BC
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(206) 543-8736
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60804984
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61584692
WA
Other
Enumeration date
08/25/2023
Last updated
10/04/2024
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