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DR. NAMOU KIM M.D.

Physicians Otolaryngology Plastic Surgery within the Head & Neck

Provider NPI: 1336125798

Provider Information:
DR. NAMOU  KIM M.D.
Gender: M
Not Sole Proprietor

Practice Location:
1221 MADISON ST STE 1523  SEATTLE, WA 98104-1342 US
Tel: 206-292-6464  Fax: 206-292-6498

Business Mailing Address:
1221 MADISON ST STE 1523  SEATTLE, WA 98104-1342 US
Tel: 206-292-6464  Fax: 206-292-6498

NPI Information:
NPI: 1336125798
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207YX0007XPhysicians
Otolaryngology
Plastic Surgery within the Head & Neck
WAMD60101869
N207Y00000XPhysicians
Otolaryngology
AZ31234

Other Provider Identifiers:

IssuerNumberStateType
TRIWEST86080015085259B018AZ01
RAILROAD MEDICAREP00020654AZ01
776669AZ05



American Medical Association 2012 taxonomy code information

Code: 207YX0007X

Type:

Classification:



Definition:



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