Namjoong Kim, | |
9714 3rd Ave Ne Ste 201, Seattle, WA 98115-2000 | |
(808) 636-7077 | |
(206) 707-7633 |
Full Name | Namjoong Kim |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 9714 3rd Ave Ne Ste 201, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902533433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH61313084 (Washington) | Primary |
Provider Name | Chirolight Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811690209 PECOS PAC ID: 9638538853 Enrollment ID: O20230706003168 |
Mailing Address | Practice Location Address |
---|---|
Namjoong Kim, 9714 3rd Ave Ne Ste 201, Seattle, WA 98115-2000 Ph: (808) 636-7077 | Namjoong Kim, 9714 3rd Ave Ne Ste 201, Seattle, WA 98115-2000 Ph: (808) 636-7077 |
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