Basic Information
Provider Information
NPI: 1386603538
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KIM
FirstName: HELEN
MiddleName: HYO SOON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 805 MADISON ST
Address2: SUITE 901
City: SEATTLE
State: WA
PostalCode: 981041172
CountryCode: US
TelephoneNumber: 2062648100
FaxNumber:  
Practice Location
Address1: 1135 116TH AVE NE
Address2: SUITE 550
City: BELLEVUE
State: WA
PostalCode: 980044623
CountryCode: US
TelephoneNumber: 4256881916
FaxNumber: 4256881901
Other Information
ProviderEnumerationDate: 03/17/2006
LastUpdateDate: 01/20/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD00035175WAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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