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Contact Information

DANIEL J KIM, MD
11311 BRIDGEPORT WAY SW STE 100
LAKEWOOD, WA98499-3096
 Phone: 253-985-6490
 Fax: 253-985-6488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DANIEL J KIM · (Male)

NPI # 1508094707
Status Active
Credentials MD
Entity Individual
Enumeration date 06/25/2009
Last updated 12/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35123356
  • WA License # MD60637695
  • OH Medicaid 0093261
Hospital affiliation(s)
  • EVERGREEN HOSPITAL MEDICAL CENTER - (Acute Care)
    12040 NE 128TH STREET
    KIRKLAND, WA 98034
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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