Kim, Eunjung

Kim, Eunjung is an individual health care provider with primary practice located at 33507 9Th Ave S Building A, Federal Way WA 98003-6397. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kim, Eunjung can be contacted via phone (253) 874-5404.

Contact Information

Primary practice address
33507 9Th Ave S Building A Federal Way WA 98003-6397
Phone: (253) 874-5404
Fax: (253) 874-8964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30006069 Washington

Profile Details

NPI number 1669562757
LBN Legal business name Kim, Eunjung
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Sep 2nd, 2016 - about 9 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 1669562757 NPPES
Washington MEDICAID 9641986

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