Organization
KIM S. MALLICK, M.D., P.S.
Active
Organization
KIM S. MALLICK, M.D., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM SHANNON MALLICK M.D. (PRESIDENT)
(206) 215-2323
Entity
Organization
Contact information
Practice address
1221 MADISON ST, SUITE 1218, SEATTLE, WA 98104-1356
(206) 215-2323
(206) 215-2320
Mailing address
1221 MADISON ST, SUITE 1218, SEATTLE, WA 98104-1356
(206) 215-2323
(206) 215-2320
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00027008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078542
—
WA
01
—
32114
LABOR AND INDUSTRIES
WA
Enumeration date
05/04/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up