Individual
STEPHEN S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 NE PARK PLAZA DR, SUITE 100, VANCOUVER, WA 98684-5895
(360) 254-8025
(360) 254-8618
Mailing address
222 NE PARK PLAZA DR, SUITE 100, VANCOUVER, WA 98684-5895
(360) 254-8025
(360) 254-8618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033818
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110146504
RAILROAD MEDICARE
WA
05
—
8204026
—
WA
Enumeration date
06/20/2006
Last updated
06/24/2008
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