Individual
KATHERINE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2110 116TH AVE NE, BELLEVUE, WA 98004-3040
(206) 734-9033
Mailing address
3824 154TH AVE SE, BELLEVUE, WA 98006-1746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60616935
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60616935
PREMERA, REGENCE, BLUE CROSS BLUE SHIELD
—
05
—
PT60616935
—
WA
Enumeration date
05/25/2017
Last updated
05/25/2017
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