Organization
FOOT AND ANKLE CENTER OF ISSAQUAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE E KIM (OWNER)
(425) 947-2880
Entity
Organization
Contact information
Practice address
22510 SE 64TH PL, UNIT 120, ISSAQUAH, WA 98027-5390
(425) 947-2880
Mailing address
6947 COAL CREEK PKWY SE, #753, NEWCASTLE, WA 98059-3136
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60204241
WA
Other
Enumeration date
05/04/2015
Last updated
12/04/2015
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