Kim, Michelle

Kim, Michelle is an sole proprietor health care provider with primary practice located at 325 9Th Ave , Seattle WA 98104-2420. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Kim, Michelle can be contacted via phone (206) 744-3576.

Contact Information

Primary practice address
325 9Th Ave Seattle WA 98104-2420
Phone: (206) 744-3576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY60311856 Washington

Profile Details

NPI number 1437290830
LBN Legal business name Kim, Michelle
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Feb 12th, 2014 - about 10 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 1437290830 NPPES
Washington MEDICAID 1437290830

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