Kim S. Mallick, M.D., P.S.

LBN: Kim S. Mallick, M.D., P.S.
Kim S. Mallick, M.D., P.S. is an health care organization with primary practice located at 1221 Madison St Suite 1218, Seattle WA 98104-1356. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Kim S. Mallick, M.D., P.S. can be contacted via phone (206) 215-2323, or through Mallick, Kim Shannon via phone (206) 215-2323.

Contact Information

Primary practice address
1221 Madison St Suite 1218 Seattle WA 98104-1356
Phone: (206) 215-2323
Fax: (206) 215-2320
Website:
Map and Directions
Authorized official contact:
Name: Mallick, Kim Shannon Doctor of Medicine (MD)
Phone: (206) 215-2323

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD00027008 Washington

Profile Details

NPI number 1508078320
LBN Legal business name Kim S. Mallick, M.D., P.S.
DBA Doing business as
Authorized official Mallick, Kim Shannon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508078320 NPPES
Washington MEDICAID 1078542
Washington Other 32114

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