IndividualActive
Kyong Kim, DO
NPI 1124009303 · Interventional Pain Medicine Physician · Lakewood, WA
Provider details
- NPI number
- 1124009303
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- OP00001595 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11306 Bridgeport Way Sw
Suite D
Lakewood, WA 98499-3037
Phone: (253) 983-9390
Fax: (253) 983-0066
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 39324
Lakewood, WA 98496-3324
Additional practice locations (1)
- 155 Lilly Rd Ne Ste BOlympia, WA 98506-5028Phone: (206) 538-6300Fax: (206) 538-6301
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2023-02-15
- Certified
- 2023-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.