Kim, David Keesu

Kim, David Keesu is an individual health care provider with primary practice located at 2200 Nw Myhre Rd , Silverdale WA 98383-7681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kim, David Keesu can be contacted via phone (360) 830-1100.

Contact Information

Primary practice address
2200 Nw Myhre Rd Silverdale WA 98383-7681
Phone: (360) 830-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44747 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00048942 Washington

Profile Details

NPI number 1255305173
LBN Legal business name Kim, David Keesu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Apr 21st, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255305173 NPPES
Washington Other 269239 WA LABOR & INDUSTRIES
Washington MEDICAID 203670300 WA LABOR & INDUSTRIES

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