Individual
HEEKYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4025 DELRIDGE WAY SW, SEATTLE, WA 98106-9810
(206) 763-2626
Mailing address
14027 LAKE CITY WAY NE APT E607, SEATTLE, WA 98125-3893
(401) 447-3969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60867022
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60867022
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/30/2018
Last updated
09/30/2018
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