Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 26446 | WA |
NPI | 1811921570 |
---|---|
Provider Name | Helen H Kim |
First Address | Longview, WA 98632 |
Second Address | Longview, WA 98632-2315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 04/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
813838 | (05) | WA |
E98290 | (02) |