Won Ky Kim
Optometrist in Redmond, WA. Individual provider (NPI-1).
NPI number1346802477
StatusActive
Last updated in NPPESJun 28, 2019
Details
- NPI
- 1346802477
- Entity type
- Individual (NPI-1)
- Name
- Won Ky Kim
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2019
- Last updated
- Jun 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OD60971324 | WA | Yes |
Practice location
17700 Ne 76th StRedmond, WA 98052-3300
Phone 206-498-8568
Mailing address
7977 170th Ave Ne Apt B428Redmond, WA 98052-4079
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