NPI 1205469889
Shannon J Kim, CPOLCPO
Practice location
- Address
- 501 Eastlake Ave E STE 300 Seattle, Wa, Seattle, WA 98109
- Phone
- (206) 598-4026
- Fax
- (206) 598-4761
Registered specialties
Prosthetist
Primary
Registry record
- NPI
- 1205469889
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Feb 2020
- Record last updated
- 2 Oct 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.