Organization
SUMMIT DERMATOLOGY PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KIM MD (OWNER/PRESIDENT)
(360) 754-4352
Entity
Organization
Contact information
Practice address
300 LILLY RD NE, UNIT A, OLYMPIA, WA 98506-5428
(360) 754-4352
Mailing address
300 LILLY RD NE, UNIT A, OLYMPIA, WA 98506-5428
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00042827
WA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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