Kim, Daniel Jaeung

Kim, Daniel Jaeung is an individual health care provider with primary practice located at 11311 Bridgeport Way Sw Ste 100 , Lakewood WA 98499-3096. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Kim, Daniel Jaeung can be contacted via phone (253) 985-6490.

Contact Information

Primary practice address
11311 Bridgeport Way Sw Ste 100 Lakewood WA 98499-3096
Phone: (253) 985-6490
Fax: (253) 985-6488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 35123356 Ohio
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD60637695 Washington

Profile Details

NPI number 1508094707
LBN Legal business name Kim, Daniel Jaeung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Dec 1st, 2017 - about 9 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 1508094707 NPPES
Ohio MEDICAID 0093261

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