DR. CASEY KWON KIM (NPI# 1073578704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073578704 |
| Entity Type | Individual |
| Full Name | DR. CASEY KWON KIM |
| Credential | MD |
| Practice Address |
18623 Highway 99 Ste 230 Lynnwood WA 98037-4552 |
| Practice Telephone | 4256728282 |
| Practice Fax Number | 4252755144 |
| Mailing Telephone | 4256728282 |
| Mailing Fax Number | 4252755144 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2011-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00046002 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1122969 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770926305 | Casey Y Kim | Acupuncturist | 1914 S Western Ave, Los Angeles, CA 90018-1537 | 2013-04-13 |
| 1568706356 | Casey C Kim | Pharmacist | 2667 E Stearns St, Brea, CA 92821-4757 | 2012-11-16 |
| 1639487176 | Casey D Kim | Chiropractor | 1801 West Romneya Dr, Suite 301, Anaheim, CA 92801 | 2010-09-17 |
| Street Address |
18623 HIGHWAY 99 STE 230 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98037-4552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497294318 | Songyi Han | Dental Assistant | 18623 Highway 99, Suite 210, Lynnwood, WA 98037-4552 | 2017-02-13 |
| 1912313412 | Whan Michael Cho Dds Ps | Dentist | 18623 Highway 99, Unit 210, Lynnwood, WA 98037-4552 | 2014-07-03 |
| 1609820513 | Dr Kims Total Medical Care P S | Family Medicine | 18623 Highway 99, #230, Lynnwood, WA 98037-4509 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441441 | Yin May Siu | Massage Therapist | 17812 19th Ave W, Lynnwood, WA 98037 | 2020-09-14 |
| 1629604343 | Tru Health Pllc | Chiropractor | 3503 188th St Se, Lynnwood, WA 98037 | 2020-03-13 |
| 1427536341 | Cierra Lynn Brunette | Dentist | 17425 Wa-99, Suite D, Lynnwood, WA 98037 | 2018-08-02 |
| 1831680974 | Yessica Yasmin Gaxiola | Dental Assistant | 17425 Wa-99 Suite D, Lynnwood, WA 98037 | 2018-05-24 |
| 1851888416 | Mary Soledad Ramos | Registered Nurse | 6506 168th St. Sw, Lynnwood, WA 98037 | 2018-04-19 |
| 1083144984 | Statcare Staffing | Home Health | 3526 168th Pl Sw, Lynnwood, WA 98037 | 2017-06-14 |
| 1770034910 | Emanual Kahsai | Pharmacist | 18422 41st Pl W, Lynnwood, WA 98037 | 2016-10-24 |
| 1477947133 | Costco Wholesale Corporation | Pharmacy | 18109 33rd Ave W, Lynnwood, WA 98037 | 2015-03-20 |
| 1164816872 | Costco Wholesale Corporation | Hearing Aid Equipment | 18109 33rd Avenue West, Lynnwood, WA 98037 | 2015-03-20 |
| 1801212071 | Megan Ann Herrenkohl | Social Worker | 5325 172nd St Sw, Lynnwood, WA 98037 | 2014-03-12 |
| Find all providers in zip 98037 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144768151 | A2nk, Pllc | Family Medicine | 19230 Alderwood Mall Pkwy, Suite 120, Lynnwood, WA 98036-4869 | 2017-02-09 |
| 1013049741 | Community Health Center of Snohomish County | Family Medicine | 4111 194th St Sw Ste 100, Lynnwood, WA 98036-4604 | 2007-03-09 |
| 1073528766 | Stanley D Borish | Family Medicine | 19526 64th W, Lynnwood, WA 98036-5100 | 2006-07-30 |
| 1194739987 | Tanya I Bryant | Family Medicine | 6101 200th St Sw, Ste 208, Lynnwood, WA 98036-6077 | 2006-07-28 |
| 1033134267 | Edward Sungwon Lee | Family Medicine | 2902 164th St Sw, Bldg E1, Lynnwood, WA 98087-3201 | 2006-07-12 |
| 1598792657 | Joseph O Aiyenowo | Family Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2006-06-26 |
| 1396711487 | Elisa Marie Frost Granger | Family Medicine | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2006-02-27 |
| 1225027006 | Phyllis A.m. Hollenbeck | Family Medicine | 19401 40th Ave W, Suite 100, Lynnwood, WA 98036-4612 | 2005-10-14 |
| 1407852742 | Laurie L Kreiter | Family Medicine | 19116 33rd Ave W, Lynnwood, WA 98036-4706 | 2005-06-22 |
| 1760918205 | Sang Won | Family Medicine | 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 | 2017-05-03 |
| Find all providers in LYNNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.