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Jeong H. Kim, M.D.

Internal Medicine in Bothell, WA. Individual provider (NPI-1).

NPI number1861591786
StatusActive
Last updated in NPPESAug 1, 2019

Details

NPI
1861591786
Entity type
Individual (NPI-1)
Name
Jeong H. Kim
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2006
Last updated
Aug 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD00036606WAYes
207R00000X Internal MedicineMD0036606WA
207RA0401X Internal Medicine, Addiction MedicineMD00036606WA

Practice location

11812 N Creek Pkwy N Ste 202
Bothell, WA 98011

Phone 425-287-5500 · Fax 425-287-6440

Mailing address

3814 222nd Pl Se
Bothell, WA 98021-4220

Phone 425-922-7401 · Fax 425-899-5304

Other practice locations

14048 Juanita Dr Ne
Kirkland, WA 98034-9712

Phone 425-899-5300 · Fax 425-899-5304

3900 Factoria Blvd Se Ste A
Bellevue, WA 98006-1234

Phone 425-903-3141 · Fax 425-903-3142

8725 S Tacoma Way
Lakewood, WA 98499-4544

Phone 253-535-5552

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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