NPI 1376158410

Luan Kim DO

Practitioner Contractor Tacoma, WA

Practice location

Address: 1832 Pointe Woodworth Dr NE, Tacoma, WA 98422-3466
Phone: (206) 708-5177
Mailing address: PO Box 25052, Federal Way, WA 98093-2052

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Washington →

Registry record

NPI: 1376158410
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2020
Record last updated: 15 Sep 2020

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.