Provider Demographics
NPI:1194015677
Name:KIM, SEONG-HUN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:SEONG-HUN
Middle Name:
Last Name:KIM
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 NE 125TH ST
Mailing Address - Street 2:SUITE 245
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-4373
Mailing Address - Country:US
Mailing Address - Phone:206-906-9013
Mailing Address - Fax:209-902-9687
Practice Address - Street 1:2611 NE 125TH ST
Practice Address - Street 2:SUITE 245
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4373
Practice Address - Country:US
Practice Address - Phone:206-906-9013
Practice Address - Fax:206-902-9687
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD605185412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry