Kim, Matthew J.
Kim, Matthew J. is an individual health care provider with primary practice located at 1105 Division Ave # 201 , Tacoma WA 98403-1646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Kim, Matthew J. can be contacted via phone (253) 403-9200.Contact Information
Primary practice address
1105 Division Ave # 201
Tacoma WA 98403-1646
Phone: (253) 403-9200
Fax: (253) 403-9201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 278794 | New York |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 48761 | Connecticut |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | MD-21633 | Hawaii |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | MD61405475 | Washington |
Profile Details
| NPI number | 1770548091 |
|---|---|
| LBN Legal business name | Kim, Matthew J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Oct 3rd, 2024 - about 2 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 | 1770548091 | NPPES |
| Washington | MEDICAID | 2255513 |
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