NPI 1053403634

Mark S. Kim, MD

Practitioner Phlebology Physician Puyallup, WA

Practice location

Address: 1803 S Meridian, Puyallup, WA 98371
Phone: (253) 268-3400
Fax: (253) 268-3870
Mailing address: 1803 S Meridian, Puyallup, WA 98371-7513

Registered specialties (2)

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence MD00038816 (WA)

Other Phlebology providers in Washington →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD00038816 (WA)

Other Family Medicine providers in Washington →

Registry record

NPI: 1053403634
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2006
Record last updated: 15 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.