Theodore Y Kim D.O.

NPI 1952325359 - Specialist - 174400000X

NPI Details
NPI 1952325359
Gender Male
Enumeration Date 07/27/2006
Last Updated 05/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1415 E KINCAID ST
MOUNT VERNON WA, 98274-4126, US
Phone (360) 424-4111
Fax
Business Location
1415 E KINCAID ST
MOUNT VERNON WA, 98274-4126, US
Phone (360) 424-4111
Fax
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number OP00002076
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According to our database, Theodore Y Kim D.O. NPI is 1952325359, taxonomy code is 174400000X and license number is OP00002076, license state is located at Washington. Theodore Y Kim D.O. physically located at 1415 E Kincaid St, Mount Vernon WA, 98274-4126. NPI Number Theodore Y Kim D.O. has the Individual type.

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1952325359 NPI number is provided on an as is basis without warranty of any kind. 1952325359 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Y Kim D.O. are for informational purposes only.