Individual
DR. MATTHEW J. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 DIVISION AVE # 201, TACOMA, WA 98403-1646
(253) 403-9200
(253) 403-9201
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
278794
NY
207VM0101X
Maternal & Fetal Medicine Physician
48761
CT
207VM0101X
Maternal & Fetal Medicine Physician
MD-21633
HI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD61405475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2255513
—
WA
Enumeration date
04/19/2006
Last updated
10/03/2024
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