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NPI Code Detail

MEDICARE: SUZIE KYU KIM AAC

MEDICARE: SUZIE KYU KIM AAC
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
1101YM0800XMental Health CounselorWA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215458773
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZIE KYU KIM AAC
Provider Business Mailing Address
First Line : 8909 56TH PL W
Second Line :
City : MUKILTEO
State : WA
Zip : 98275-3453
Country : US
Telephone Number : 206-280-2439
Fax Number :
Provider Business Practice Location Address
First Line : 10215 LAKE CITY WAY NE STE H
Second Line :
City : SEATTLE
State : WA
Zip : 98125-7758
Country : US
Telephone Number : 206-417-9904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2017
Last Update Date : 07/05/2017

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Directions to “ SUZIE KYU KIM AAC” Practice Location

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