| Brain And Memory Health Group Pllc | |
|
4501 15th Ave S Ste 102 Seattle WA 98108-1874 | |
| (425) 494-3554 | |
| (206) 538-2563 |
| Full Name | Brain And Memory Health Group Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4501 15th Ave S Ste 102, Seattle, Washington |
| Authorized Official Name and Position | Alice Allen-redfern (CO-FOUNDER) |
| Authorized Official Contact | 4254943554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain And Memory Health Group Pllc 4742 42nd Ave Sw # 406 Seattle WA 98116-4553 Ph: (425) 494-3554 | Brain And Memory Health Group Pllc 4501 15th Ave S Ste 102 Seattle WA 98108-1874 Ph: (425) 494-3554 |
| NPI Number | 1508612847 |
|---|---|
| Provider Enumeration Date | 04/26/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 7012359300 |
|---|---|
| Medicare Enrollment ID | O20240531003564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508612847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | So Hee Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679001846 PECOS PAC ID: 8628347051 Enrollment ID: I20170628002173 |
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