Mark S. Kim is a Phlebology in Puyallup, Washington. Mark S. Kim practices all healthcare services and medical treatments related to Phlebology. The NPI Number for Mark S. Kim is 1053403634. The last update date is 2019-01-15.
Mark S. Kim's current location address is 1803 S Meridian, Puyallup, Washington. You can contact this provider via phone number 2535896573 and fax number 2539841079. The mailing address for Mark S. Kim is 1803 S Meridian, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark S. Kim |
|---|---|
| Address | 1803 S Meridian, Puyallup, Washington |
| Phone Number | 2535896573 |
| Fax Number | 2539841079 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053403634 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2019-01-15 |
Provider Mailing Address Detail
| Address | 1803 S Meridian |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983717513 |
| Phone Number | 2535896573 |
| Fax Number | 2539841079 |
Provider's Primary Taxonomy Detail
| Speciality | Phlebology |
|---|---|
| Taxonomy | 202K00000X |
| Licence No | MD00038816 |
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Definition: Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and o |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8255697 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark S. Kim by the Centers for Medicare & Medicaid Services?
The Mark S. Kim has been issued the NPI (National Provider Identifier) 1053403634. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark S. Kim's facilities are situated?
The facilities of Mark S. Kim are physically located at the following address: 1803 S Meridian, Puyallup, WA, 983717513.
What is the Mark S. Kim's specialty and taxonomy code?
The Mark S. Kim's specialty is Phlebology, and the corresponding taxonomy code is 202K00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053403634 to Mark S. Kim?
The Mark S. Kim received its 1053403634 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date was the information regarding Mark S. Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark S. Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-01-15.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY