NPI 1093579823
Taeil Kim
Practice location
- Address
- 1111 Pacific Ave STE a, Everett, WA 98201-4200
- Phone
- (425) 225-3411
- Mailing address
- 22114 SE 278th Pl, Maple Valley, WA 98038-5073
Registered specialties
Denturist
Primary
Registry record
- NPI
- 1093579823
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Feb 2024
- Record last updated
- 12 Feb 2024
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.