Misun Jung Ho Kim

NPI 1275393233 · on the registry since 2024

Practice

Address: 18407 Pacific Ave S Ste 5
Spanaway, WA 98387
Phone: (206) 403-6781
Organisation at this address: Abracadabra Recovery Inc
Rainier Health Services Inc.
Carols Kreation And Boutique Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Also registered as: 171M00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington