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NPI Code Detail

MEDICARE: DR. HYON CHONG KIM M.D.

MEDICARE:  DR. HYON CHONG 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
1207RG0100XGastroenterology PhysicianMD60231931WA

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 : 1619124104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HYON CHONG KIM M.D.
Provider Business Mailing Address
First Line : PO BOX 59028
Second Line :
City : RENTON
State : WA
Zip : 98058-2028
Country : US
Telephone Number : 425-251-5110
Fax Number : 425-793-7458
Provider Business Practice Location Address
First Line : 4011 TALBOT RD S
Second Line : SUITE 500
City : RENTON
State : WA
Zip : 98055-5782
Country : US
Telephone Number : 425-251-5110
Fax Number : 425-793-7380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 08/05/2011

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Directions to “ DR. HYON CHONG KIM M.D.” Practice Location

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