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Contact Information

JI YOUNG KIM, ARNP
4410 106TH ST SW
MUKILTEO, WA98275
 Phone: 425-493-6000
 Fax: 425-493-6030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JI YOUNG KIM · (Female)

NPI Number 1164974978
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 10/27/2016
Last updated 03/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AP 60695726
  • WA License # AP60695726
Hospital affiliation(s)
  • PROVIDENCE REGIONAL MEDICAL CENTER EVERETT - (Acute Care)
    1321 COLBY AVENUE
    EVERETT, WA 98201
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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