NAYEON KIM PLLC NPI 1508431693

NPI Information

NPI: 1508431693
Provider Name: NAYEON KIM PLLC

Doing Business As: LACEY FAMILY CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7503 PACIFIC AVE SE
LACEY, WA
ZIP 98503
Phone: (253) 332-0892
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NAYEON KIM PLLC is a primary care clinic center in Lacey, WA. NAYEON KIM PLLC NPI is 1508431693. The provider is registered as an organization entity type.
The provider Is Doing Business As Lacey Family Clinic.

The provider's business location address is:

7503 PACIFIC AVE SE
LACEY, WA
ZIP 98503-874
Phone: (253) 332-0892

The provider's authorized official is Nayeon Kim .
The authorized official title is Owner/manager and has the following contact phone number (253) 332-0892.

The CLIA number assigned to this NPI record is 50D2257273 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2021 and was last updated on 7/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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