NPI 1124009303

Kyong Ho Kim, DO

Practitioner Interventional Pain Medicine Physician Lakewood, WA

Practice location

Address: 11306 Bridgeport Way SW Suite D, Lakewood, WA 98499-3037
Phone: (253) 983-9390
Fax: (253) 983-0066
Mailing address: PO Box 39324, Lakewood, WA 98496-3324

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence OP00001595 (WA)

Other Pain Medicine providers in Washington →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence OP00001595 (WA)

Other Anesthesiology providers in Washington →

Registry record

NPI: 1124009303
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2005
Record last updated: 15 Feb 2023

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.