SearchWashington171100000X

Ji Kim

NPI 1740599869 · on the registry since 2010 · sole proprietor

Practice

Address
424 S 308th St
Federal Way, WA 98003
Phone
(253) 347-3745
Fax
(253) 941-0908

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-07

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