MEDICARE: DR. CHI-NA KIM M.D.

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	207P00000X	Emergency Medicine Physician	MD00036806	WA

General Provider Information

NPI Number	:	1598791501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHI-NA KIM M.D.

Provider Business Mailing Address
First Line	:	2369 NORTHSHORE RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-7851
Country	:	US
Telephone Number	:	360-935-1122
Fax Number	:

Provider Business Practice Location Address
First Line	:	2616 KWINA RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-9291
Country	:	US
Telephone Number	:	360-380-6945
Fax Number	:	360-384-2350

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	01/30/2026

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