Kim Pruess Nevins Md Pllc

NPI 1255311122 - Internal Medicine - 207R00000X

NPI Details
NPI 1255311122
Enumeration Date 01/18/2006
Last Updated 05/31/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIM ELIZABETH KIM
Position MD OWNER
Phone (425) 391-0313
Fax (425) 837-8501
Practice Location
450 NW GILMAN BLVD
STE 301A
ISSAQUAH WA, 98027, US
Phone (425) 391-0313
Fax (425) 837-8501
Business Location
PO BOX 1225
ISSAQUAH WA, 98027-0047, US
Phone (425) 391-0313
Fax (425) 837-8501
Toxanomy
Taxonomy Code 207R00000X
License State Washington
License Number MD00038616
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According to our database, Kim Pruess Nevins Md Pllc NPI is 1255311122, taxonomy code is 207R00000X and license number is MD00038616, license state is located at Washington. Kim Pruess Nevins Md Pllc physically located at 450 Nw Gilman Blvd, Issaquah WA, 98027. NPI Number 1033115704 has the healthcare provider type.

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1255311122 NPI number is provided on an as is basis without warranty of any kind. 1255311122 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Pruess Nevins Md Pllc are for informational purposes only.