Individual
DR. DENNIS JOOYOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 10TH AVE SE, PUYALLUP, WA 98372-3875
(253) 845-7566
Mailing address
152 S 295TH PL, FEDERAL WAY, WA 98003-3659
(253) 797-9234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1116136
—
WA
Enumeration date
08/19/2006
Last updated
05/03/2023
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