Individual
DR. SAMUEL JISOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MA
Contact information
Practice address
815 MERCER ST, UNIV OF WASHINGTON GME OFFICE, SEATTLE, WA 98109-4714
(206) 390-7397
Mailing address
815 MERCER ST, UNIV OF WASHINGTON GME OFFICE, SEATTLE, WA 98109-4714
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OL 60159865
WA
Other
Enumeration date
04/19/2010
Last updated
05/05/2014
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