Individual
DIANE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9245 RAINIER AVE S, SEATTLE, WA 98118-5569
(206) 722-8444
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712
(206) 548-3114
(206) 962-2342
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207V00000X
Obstetrics & Gynecology Physician
002014
NY
367A00000X
Advanced Practice Midwife
Primary
AP61624193
WA
Other
Enumeration date
06/18/2020
Last updated
01/02/2025
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