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Jessie Kim-Deobald, MD

Specialist in Seattle, WA. Individual provider (NPI-1).

NPI number1902902018
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1902902018
Entity type
Individual (NPI-1)
Name
Jessie Kim-Deobald
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 15, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMD000030151WAYes

Practice location

1530 N 115th St
Suite 301
Seattle, WA 98133-8411

Phone 206-365-5000 · Fax 206-365-5002

Mailing address

1530 N 115th St
Suite 301
Seattle, WA 98133-8411

Phone 206-365-5000 · Fax 206-365-5002

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