Individual
DR. DANIEL JAEUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11311 BRIDGEPORT WAY SW STE 100, LAKEWOOD, WA 98499-3096
(253) 985-6490
(253) 985-6488
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35123356
OH
207RR0500X
Rheumatology Physician
Primary
MD60637695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093261
—
OH
Enumeration date
06/25/2009
Last updated
12/01/2017
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