Dr. Jin Bum Kim, M.D.
Family Medicine in Enumclaw, WA. Individual provider (NPI-1).
NPI number1316635568
StatusActive
Last updated in NPPESOct 22, 2026
Details
- NPI
- 1316635568
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jin Bum Kim
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2023
- Certification date
- Oct 22, 2026
- Last updated
- Oct 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD.MD.70097490 | WA | Yes |
Other names
- Jack Kim (Former Name)
Practice location
3021 Griffin AveEnumclaw, WA 98022-2369
Phone 360-825-6511 · Fax 360-825-6536
Mailing address
3021 Griffin AveEnumclaw, WA 98022-2369
Phone 360-825-6511 · Fax 360-825-6536
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All 21 Family Medicine Physician providers in Enumclaw · All 466 providers in Enumclaw
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