Mark S. Kim, MD
Phlebology Physician · Puyallup, WA
Practice location
1803 S MeridianPuyallup, WA 98371
- Phone
- (253) 268-3400
- Fax
- (253) 268-3870
NPI record
- NPI
- 1053403634
- Entity type
- Individual (Type 1)
- Enumeration date
- September 29, 2006
- Last updated
- January 15, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Phlebology Physician Primary | 202K00000X |
MD00038816 | WA |
| Family Medicine Physician | 207Q00000X |
MD00038816 | WA |
Mailing address
1803 S MeridianPuyallup, WA 98371-7513
- Phone
- (253) 589-6573
- Fax
- (253) 984-1079
About Dr. Kim
Mark S. Kim, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Phlebology Physician (code 202K00000X). The practice location is 1803 S Meridian, Puyallup, WA 98371. The NPI number 1053403634 was assigned on September 29, 2006 and the record was last updated on January 15, 2019.
Dr. Kim lists 2 licenses in the registry: #MD00038816 (WA) for Phlebology Physician; #MD00038816 (WA) for Family Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark S. Kim, MD?
The NPI number is 1053403634.
What is the phone number of Dr. Kim?
The phone number listed for the practice location is (253) 268-3400.
Where is Dr. Kim located?
1803 S Meridian, Puyallup, WA 98371.
What is the taxonomy code for Dr. Kim?
The primary taxonomy code is 202K00000X – Phlebology Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.