Jonathan J Kim, RN
Registered Nurse in University Place, WA. Individual provider (NPI-1).
NPI number1104604875
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1104604875
- Entity type
- Individual (NPI-1)
- Name
- Jonathan J Kim
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2023
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 23482073 | WA | Yes |
Practice location
6626 60th St WUniversity Place, WA 98467-2110
Phone 253-225-8241
Mailing address
6626 60th St WUniversity Place, WA 98467-2110
Phone 253-225-8241
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