Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D0064557 | MD |
Y | 2080P0203X | Pediatric Critical Care Doctor | MD60152464 | WA |
NPI | 1225188360 |
---|---|
Provider Name | Dr. Kihan Kim |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 01/07/2010 |