Soon H. Kimm, M.D., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD00022272 Issued in WA

Legal business name

SOON H. KIMM, M.D., P.C.

Practice address

1207 N 200TH St
Suite 215
Shoreline, WA 98133-3213

Phone

(206) 542-7606

Fax

(206) 533-9880

NPI assigned

Apr 21, 2008

Last updated

Apr 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Soon H Kimm, M.D.NPI 1912985169

Title

President

Phone

(206) 542-7606

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soon H Kimm, M.D.

  • Internal Medicine Physician
  • Shoreline, WA
  • NPI 1912985169
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1306010350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST",
            "address_2": "SUITE 215",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-542-7606",
            "fax_number": "206-533-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N 200TH ST",
            "address_2": "SUITE 215",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333213",
            "telephone_number": "206-542-7606",
            "fax_number": "206-533-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOON H. KIMM, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "KIMM",
        "authorized_official_first_name": "SOON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-542-7606",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00022272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112747",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Jo Smithies, LMT
• Mary Kay Snedden
• Diana Ascione Sonnega, M.S., CCC-SLP
• Michele Sonntag, PHD
• Sherilynn Soo, DNP
• Sound Beginnings LLC
• Sound DBT Inc PS
• Sound Health Connects
• Sound Infectious Disease, PLLC
• Kimberly Irene Sowers, PHARMACY TECHNICIAN

• Primary Care Clinic/Center in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.