Kim, Jeong H.
Kim, Jeong H. is an individual health care provider with primary practice located at 11812 N Creek Pkwy N Ste 202 , Bothell WA 98011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, Jeong H. can be contacted via phone (425) 287-5500.Contact Information
Primary practice address
11812 N Creek Pkwy N Ste 202
Bothell WA 98011
Phone: (425) 287-5500
Fax: (425) 287-6440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD0036606 | Washington |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MD00036606 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00036606 | Washington |
Profile Details
| NPI number | 1861591786 |
|---|---|
| LBN Legal business name | Kim, Jeong H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Aug 1st, 2019 - about 5 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 | 1861591786 | NPPES |
| Washington | MEDICAID | 1020945 |
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