Individual
MISTY NOELANI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
1008 BETHEL AVE STE E, PORT ORCHARD, WA 98366-4236
(360) 871-2076
Mailing address
PO BOX 168, PORT ORCHARD, WA 98366-0168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI00004710
WA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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