Individual
DR. KATHY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#KIM
MARCH VISION CARE
WA
01
—
050612108
PREMERA
WA
05
—
2030831
—
WA
01
—
5814065
CIGNA
WA
01
—
REGENCE
9659KI
WA
Enumeration date
10/12/2006
Last updated
07/22/2024
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