| NPI | 1659758290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE E KIM Owner 425-947-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WA PO60204241) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-12-04 |