Individual
JUSTIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
PO BOX 724, MERCER ISLAND, WA 98040-0724
(206) 512-6261
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
293170
NY
207L00000X
Anesthesiology Physician
60474848
WA
Other
Enumeration date
04/30/2014
Last updated
08/12/2020
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