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Individual

MI SUN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4011 TALBOT RD S STE 500, RENTON, WA 98055-5782
(425) 690-3482
(425) 690-9082
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60371091
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60660933
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2068715
WA
Enumeration date
07/07/2016
Last updated
08/05/2020
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