Kim, Mi Sun

Kim, Mi Sun is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 500 , Renton WA 98055-5782. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Kim, Mi Sun can be contacted via phone (425) 690-3482.

Contact Information

Primary practice address
4011 Talbot Rd S Ste 500 Renton WA 98055-5782
Phone: (425) 690-3482
Fax: (425) 690-9082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60371091 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60660933 Washington

Profile Details

NPI number 1679925168
LBN Legal business name Kim, Mi Sun
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Aug 5th, 2020 - about 6 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 1679925168 NPPES
Washington MEDICAID 2068715

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