Bong Sup Kim is a Internal Medicine in Shoreline, Washington. Bong Sup Kim practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bong Sup Kim is 1336225432. The last update date is 2009-12-14.
Bong Sup Kim's current location address is 15208 Aurora Ave N, Shoreline, Washington. You can contact this provider via phone number 2063623361 and fax number 2063627055. The mailing address for Bong Sup Kim is 15208 Aurora Ave N, Shoreline, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bong Sup Kim |
|---|---|
| Address | 15208 Aurora Ave N, Shoreline, Washington |
| Phone Number | 2063623361 |
| Fax Number | 2063627055 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336225432 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2009-12-14 |
Provider Mailing Address Detail
| Address | 15208 Aurora Ave N |
|---|---|
| City | Shoreline |
| State | Washington (WA) |
| Post Code | 981336124 |
| Phone Number | 2063623361 |
| Fax Number | 2063627055 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD00023608 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1068048 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bong Sup Kim by the Centers for Medicare & Medicaid Services?
The Bong Sup Kim has been issued the NPI (National Provider Identifier) 1336225432. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bong Sup Kim?
The Bong Sup Kim is situated at 15208 Aurora Ave N, in the city of Shoreline, state of WA, with the zip code 981336124.
What is the Bong Sup Kim's specialty and taxonomy code?
The Bong Sup Kim's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date was the 1336225432 assigned to Bong Sup Kim?
The Bong Sup Kim was issued its 1336225432 on 2006-10-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Bong Sup Kim's details last updated?
The information pertaining to the Bong Sup Kim, including its address, specialty, and other details, was most recently updated on 2009-12-14.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL