| Susan Sooyoung Kim Md Phd P.c. | |
|
13107 121st Way Ne Ste A Kirkland WA 98034-3051 | |
| (206) 759-6058 | |
| Not Available |
| Full Name | Susan Sooyoung Kim Md Phd P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13107 121st Way Ne Ste A, Kirkland, Washington |
| Authorized Official Name and Position | Susan Sooyoung Kim (OWNER OF PROFESSIONAL CORPORATION) |
| Authorized Official Contact | 2067596058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Sooyoung Kim Md Phd P.c. Po Box 21187 Seattle WA 98111-3187 Ph: (206) 759-6058 | Susan Sooyoung Kim Md Phd P.c. 13107 121st Way Ne Ste A Kirkland WA 98034-3051 Ph: (206) 759-6058 |
| NPI Number | 1417664467 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Medicare PECOS PAC ID | 6406225580 |
|---|---|
| Medicare Enrollment ID | O20221212002842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417664467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Susan S Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104807676 PECOS PAC ID: 4385657170 Enrollment ID: I20221026002367 |
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