Individual
MINJI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD196401
OR
2084N0400X
Neurology Physician
MD60861213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R213587
MEDICARE
OR
Enumeration date
05/20/2013
Last updated
03/18/2021
Update your record
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