Gong, Kim
Gong, Kim is an sole proprietor health care provider with primary practice located at 2726 Alderwood Ave , Bellingham WA 98225-1223. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Gong, Kim can be contacted via phone (360) 733-2322.Contact Information
Primary practice address
2726 Alderwood Ave
Bellingham WA 98225-1223
Phone: (360) 733-2322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X |
Profile Details
| NPI number | 1558885624 |
|---|---|
| LBN Legal business name | Gong, Kim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2017 |
| Last updated | Jul 31st, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558885624 | NPPES |
| Washington | MEDICAID | 02763624 |
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