Individual
TERESA S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC STREET, SEATTLE, WA 98195
(206) 221-8290
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
(206) 520-3186
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
MD60760140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962662486
—
WA
01
—
8968306
MEDICARE PIN
WA
Enumeration date
06/10/2008
Last updated
07/21/2022
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