Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD61054853 | WA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A138771 | CA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD61054853 | WA |
NPI | 1326457839 |
---|---|
Provider Name | Michael H. Kim-Orden |
First Address | Seattle, WA 98103-6907 |
Second Address | Seattle, WA 98103-6907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2014 |
Last Update Date | 18/11/2021 |