Kim, Casey Kwon
Kim, Casey Kwon is an sole proprietor health care provider with primary practice located at 18623 Highway 99 Ste 230, Lynnwood WA 98037-4552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Casey Kwon can be contacted via phone (425) 672-8282.Contact Information
Primary practice address
18623 Highway 99 Ste 230
Lynnwood WA 98037-4552
Phone: (425) 672-8282
Fax: (425) 275-5144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00046002 | Washington |
Profile Details
| NPI number | 1073578704 |
|---|---|
| LBN Legal business name | Kim, Casey Kwon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Feb 18th, 2011 - about 14 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 | 1073578704 | NPPES |
| Washington | MEDICAID | 1122969 |
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