Kim, Paul J

Kim, Paul J is an individual health care provider with primary practice located at 314 Martin Luther King Jr Way Suite #303, Tacoma WA 98405-4250. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kim, Paul J can be contacted via phone (253) 396-4868.

Contact Information

Primary practice address
314 Martin Luther King Jr Way Suite #303 Tacoma WA 98405-4250
Fax: (253) 396-4870
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00044559 Washington

Profile Details

NPI number 1265471312
LBN Legal business name Kim, Paul J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1265471312 NPPES
Washington Other 7335738 AETNA
Washington Other 1235KI AETNA
Washington MEDICAID 8426330 AETNA

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