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1164926804

NPI Code Detail

MEDICARE: DANIEL HOON MIN KIM MD

MEDICARE: DANIEL HOON MIN KIM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0203X	Pediatric Critical Care Medicine Physician	MD61143461	WA
2	2080H0002X	Pediatric Hospice and Palliative Medicine Physician	MD61143461	WA
3	208000000X	Pediatrics Physician	MD61143461	WA

General Provider Information

NPI Number	:	1164926804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL HOON MIN KIM MD

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 SAND POINT WAY NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-3901
Country	:	US
Telephone Number	:	562-569-6736
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2018
Last Update Date	:	12/12/2025

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Directions to “ DANIEL HOON MIN KIM MD” Practice Location

Language	Start Address	Practice Location

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