Individual
DR. SUSAN H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10117 NE 58TH ST, STE 200, KIRKLAND, WA 98033-7450
(425) 821-6363
(425) 821-4804
Mailing address
10117 NE 58TH ST, STE 200, KIRKLAND, WA 98033-7450
(425) 821-6363
(425) 821-4804
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00037239
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D0966896
CLIA
WA
01
—
MD00037239
WA LICENSE NUMBER
WA
Enumeration date
07/03/2006
Last updated
03/07/2023
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