Kim, John Paul

Kim, John Paul is an individual health care provider with primary practice located at 1304 Fawcett Ave Ste 100 , Tacoma WA 98402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kim, John Paul can be contacted via phone (253) 761-4200.

Contact Information

Primary practice address
1304 Fawcett Ave Ste 100 Tacoma WA 98402
Fax: (253) 761-4201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD60274626 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60274626 Washington

Profile Details

NPI number 1083889919
LBN Legal business name Kim, John Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Sep 6th, 2018 - about 6 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 1083889919 NPPES
Washington MEDICAID 2020385

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