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Individual

JESSICA H KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1703 S MERIDIAN, SUITE 101, PUYALLUP, WA 98371
(253) 848-3000
(253) 840-6514
Mailing address
1703 S MERIDIAN, SUITE 101, PUYALLUP, WA 98371
(253) 848-3000
(253) 840-6514

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00042827
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8396178
WA
Enumeration date
08/04/2006
Last updated
04/25/2011
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