Organization
PUGET SOUND PAIN CLINIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYONG HO KIM D.O. (OWNER)
(253) 983-9390
Entity
Organization
Contact information
Practice address
7200 S 180TH ST, SUITE 102, TUKWILA, WA 98188-5548
(425) 774-1538
(425) 774-5171
Mailing address
PO BOX 827, BELLEVUE, WA 98009-0827
(425) 774-1538
(425) 774-5171
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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