Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | LL9539 | MD |
Y | 213ES0103X | Foot & Ankle Surgery | PODI.PO.60204241 | WA |
NPI | 1093946444 |
---|---|
Provider Name | Dr. Stephanie Eun-Hye Kim |
First Address | Newcastle, WA 98059-3136 |
Second Address | Kirkland, WA 98034-3014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2009 |
Last Update Date | 20/06/2016 |