Individual
THERESA B KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-4206
(206) 543-6806
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD61258435
WA
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD61258435
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD61258435
WA
Other
Enumeration date
03/01/2007
Last updated
09/30/2024
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