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Individual

ELIZABETH KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(253) 403-4901
(626) 623-1227
Mailing address
PO BOX 845856, LOS ANGELES, CA 90084-5856

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
145744
FL
207P00000X
Emergency Medicine Physician
Primary
MD61309050
WA
390200000X
Student in an Organized Health Care Education/Training Program
FL

Other

Enumeration date
06/09/2017
Last updated
10/05/2022
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