Individual
KI WON NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 MADISON ST #401, SEATTLE, WA 98104
(206) 467-6300
(206) 467-6301
Mailing address
805 MADISON ST #401, SEATTLE, WA 98104
(206) 467-6300
(206) 467-6301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
40660
IA
2084P0800X
Psychiatry Physician
Primary
MD60929644
WA
Other
Enumeration date
05/07/2009
Last updated
01/19/2020
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