Individual
HYUN JI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2000
(360) 414-7638
Mailing address
400 E PIONEER STE 101, PUYALLUP, WA 98372-3256
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61564724
WA
Other
Enumeration date
01/02/2024
Last updated
06/16/2026
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