Individual
EUNJUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
33507 9TH AVE S, BUILDING A, FEDERAL WAY, WA 98003-6397
(253) 874-5404
(253) 874-8964
Mailing address
1360 NW 201ST ST, SHORELINE, WA 98177
(206) 542-0126
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30006069
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9641986
—
WA
Enumeration date
10/13/2006
Last updated
09/02/2016
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