Individual
RICHARD DONG SUK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4011 TALBOT RD S, STE 460, RENTON, WA 98055-5773
(425) 251-5110
(425) 793-7382
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-4707
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60024762
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD60024762
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD60024762
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002241
—
WA
Enumeration date
09/22/2006
Last updated
11/14/2016
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