Shannon J Kim, CPO, LCPO

NPI #1205469889 in Seattle, Washington

Provider Information

NPI Number: 1205469889
Entity Type: Individual
Name: Shannon J Kim, CPO, LCPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CPO, LCPO
Enumeration Date: Feb 21, 2020
Last Updated: Oct 2, 2024

Practice Location

Address: 501 EASTLAKE AVE E STE 300 SEATTLE, WA
City: Seattle
State: Washington
ZIP Code: 98109
Phone: (206) 598-4026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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