Kim, Virgil

Kim, Virgil is an individual health care provider with primary practice located at 14090 Fryelands Blvd Se Ste 347 , Monroe WA 98272-2760. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Kim, Virgil can be contacted via phone (360) 805-3122.

Contact Information

Primary practice address
14090 Fryelands Blvd Se Ste 347 Monroe WA 98272-2760
Phone: (360) 805-3122
Fax: (360) 805-9180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 60795326 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MG60172608 Washington

Profile Details

NPI number 1881996551
LBN Legal business name Kim, Virgil
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated Jun 16th, 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 1881996551 NPPES
Washington MEDICAID 1881996551

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