John H Kim, MD
Individual provider Active NPI Internal Medicine Physician · Woodinville, WA
NPI 1154596740 · NPPES record last updated Feb 14, 2013
Key facts
- NPI
- 1154596740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD60294832 (WA)
- Practice address
- 17638 140TH Ave NE
Woodinville, WA 98072-6800 - Phone
- (425) 485-4100
- NPI assigned
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of University Physicians | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60294832 | WA | Yes |
Addresses
Primary practice location
17638 140TH Ave NE
Woodinville, WA 98072-6800
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 543-6420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154596740 | Medicaid | WA | |
| 0297258 | Other | L&I |
Other providers in Woodinville, WA
- Madiha Khalid
- Keyanoosh Khorami
- Kids in Motion, Inc.
- Katelyn Kieffer
- Pamela Anne Kilby
- Julie Kim
- Karen Sonhee Kim
- Mikyung Kim
- Soo Hyun Kim
- Melissa Lynn Kindahl
All providers in Woodinville, WA · Internal Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.