Susan Sooyoung Kim MD PHD P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SUSAN SOOYOUNG KIM MD PHD P.C.

Practice address

13107 121St Way NE Ste a
Kirkland, WA 98034-3051

Phone

(206) 759-6058

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Susan Sooyoung Kim, MD

Title

Owner of Professional Corporation

Phone

(206) 759-6058

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1417664467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21187",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981113187",
            "telephone_number": "206-759-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13107 121ST WAY NE STE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343051",
            "telephone_number": "206-759-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN SOOYOUNG KIM MD PHD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SOOYOUNG",
        "authorized_official_title_or_position": "OWNER OF PROFESSIONAL CORPORATION",
        "authorized_official_telephone_number": "206-759-6058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgery Suite Specialist, LLC.
• Surgical Center Anesthesiologists
• Pamela Nancy Sursely, DDS
• Susan Kim DDS
• Susan Kim MD PS
• Pauline Jane Sutanto
• Kelsey Metcalfe Sutter, DPT
• Jasmine Svare
• Gina M Swan, BT
• Jessica Edens Swan, MSM, LM, CPM

• Neurology Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.