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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us