Kim, Jessica H
Kim, Jessica H is an individual health care provider with primary practice located at 1703 S Meridian Suite 101, Puyallup WA 98371. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kim, Jessica H can be contacted via phone (253) 848-3000.Contact Information
Primary practice address
1703 S Meridian Suite 101
Puyallup WA 98371
Phone: (253) 848-3000
Fax: (253) 840-6514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00042827 | Washington |
Profile Details
| NPI number | 1891703781 |
|---|---|
| LBN Legal business name | Kim, Jessica H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Apr 25th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891703781 | NPPES |
| Washington | MEDICAID | 8396178 |
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