| Nayeon Kim Pllc | |
|
7503 Pacific Ave Se Lacey WA 98503-1874 | |
| (253) 332-0892 | |
| Not Available |
| Full Name | Nayeon Kim Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7503 Pacific Ave Se, Lacey, Washington |
| Authorized Official Name and Position | Nayeon Kim (OWNER/MANAGER) |
| Authorized Official Contact | 2533320892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nayeon Kim Pllc 1006 N 7th Ave Sw Tumwater WA 98512-6316 Ph: () - | Nayeon Kim Pllc 7503 Pacific Ave Se Lacey WA 98503-1874 Ph: (253) 332-0892 |
| NPI Number | 1508431693 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 07/15/2021 |
| Medicare PECOS PAC ID | 6800290131 |
|---|---|
| Medicare Enrollment ID | O20210810000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508431693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nayeon Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306452883 PECOS PAC ID: 2860812807 Enrollment ID: I20201013003169 |
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